appeals

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the...

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the...

The Appeals Specialist is responsible for the timely, accurate, and compliant investigation and resolution of member and provider appeals and grievances. This role conducts comprehensive case research, evaluates applicable benefit plans, claims history, eligibility information, provider records, clinical or administrative documentation, and the circumstances...

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's...

Who We Are At Lucet, we’re transforming whole-person care. We deliver integrated behavioral and physical health solutions that connect individuals to the right care at the right time—improving outcomes and overall well-being. Serving over 15 million lives across the U.S. and Puerto Rico, our model combines clinical expertise, compassionate care, and...

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Appeals Coordinator based in United States. This role is responsible for coordinating and managing appeal cases while ensuring decisions are handled accurately and within required timeframes. You will maintain a caseload, review...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Appeals Coordinator based in United States. This role is responsible for coordinating and managing appeal cases while ensuring decisions are handled accurately and within required timeframes. You will maintain a caseload, review...

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's...

APPEALS SPECIALIST  Do you like challenging payers?  That feeling of satisfaction when your appeal is overturned?   Then, this position may be right for you!    CAF is in search of an experienced Appeals Specialist who is well versed in challenging insurance denials, utilizing payer guidelines and applicable state laws.  The ideal candidate...

Job DescriptionJob Title: Appeals Clerk Duration: 3+ months contract Location: Milwaukee, Wisconsin 53224 Shift: 8:00AM to 5:00PM Need strong data entry abilities, healthcare experience and attention to details Will take information and transfer appeals documentation over to proprietary system and use data entry skills to enter additional appeals information...

Company DescriptionHealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail...

Company DescriptionIntegrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has...

Overview Assists in the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to patients. Assist in development of strategies for denial prevention based on identification of patterns and trends identified during the course of appeals...

Summary Responsible for maintaining the proper flow of the request for appeals.Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance...

The Appeals & Grievances (A&G) unit processes member and non-contracted provider appeals for all of HF’s line of businesses which include commercial, Medicaid, dual enrollments, Medicare and complete care. Appeals Specialist is the subject matter expert responsible for non-clinical case development and case resolution while ensuring compliance with...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Appeals Coordinator based in United States. This role is responsible for coordinating and managing appeal cases while ensuring decisions are handled accurately and within required timeframes. You will maintain a caseload, review...

POSITION SUMMARY: The Appeals Assistant: Responsible for ensuring professional handling of all provider appeals in a timely, compliant, and efficient way as well as be responsible for the daily office operations, procedures, and resources to facilitate organizational effectiveness and efficiency.REPORTS TO: Compliance Appeals ManagerSUPERVISES:...

Meet True VetAt True Vet Solutions, we believe no veteran should have to fight alone for what they already earned.Every day in America, veterans walk away from disability benefits they qualify for, not because they don't deserve them, but because the system meant to serve them is slow, confusing, and built to wear people down. We exist to change that. We...

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the...