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3,229 appeals specialist jobs

SUSE Sales Engineer / Presales Consultant

NetIQ 41 Reviews Raleigh, NC

You and your assigned sales team will be responsible for meeting and exceeding sales targets on a quarter-by-quarter basis. You will be part of an… NetIQ

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Clinical Document Specialist

St. Joseph Health System Orange, CA

The Clinical Documentation Specialist is responsible to facilitate complete and accurate documentation in the patient medical record. The Clinical… St. Joseph Health System

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Grievance & Appeals Writer Specialist

Tenet 40 Reviews Anaheim, CA

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services… Beyond.com

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Appeals Specialist

Public Consulting Group, Inc. 100+ Reviews Springfield, IL

Public Consulting Group, Inc. (PCG) provides management consulting and technology services to help public sector education, health, human services… CareerBuilder

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Appeals Specialist

Laser Spine Institute 47 Reviews Tampa, FL

• Manages insurance claims and appeals the insurance denials. • Calls patients when insurance checks are sent directly to the patient to obtain… Glassdoor

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Hospital Medical Appeals Specialist

Parathon Recovery Services Naperville, IL

• Interact with, understand and update applications used to manage patient accounts. • Contact Insurance companies to gather information on… CareerBuilder

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RN - Medical Claim Review Specialist / Appeals - Located near Dallas, Texas

Cigna 100+ Reviews Bedford, TX

Appeals & Complaints Nurse: The position functions as an Appeals Nurse. The Appeals Nurse will perform the clinical review of the the formal appeal… Glassdoor

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RN Provider Appeals-Clinical Specialist II -

Health Net of California 15 Reviews Woodland Hills, CA

Health Net, Inc. is a publicly traded managed care organization that delivers managed health care services through health plans and… Glassdoor

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DENIAL/APPEALS SPECIALIST

Presbyterian Health Services Albuquerque, NM

- Performs accounts receivable reimbursement analysis and denial management activities for their assigned payers/accounts using monthly aged account… Beyond.com

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Provider Appeals Specialist

FCHP Worcester, MA

Responsible for the receipt of and organization and tracking of provider appeals. Serves as liaison between FCHP and contracted providers regarding… Glassdoor

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Clinical Appeals Specialist - RN

Parallon 89 Reviews Nashville, TN

OF DUTIES - Handles appeals requiring clinical input or interpretation SUPERVISOR - Logging Manager SUPERVISES - N/A DUTIES INCLUDE BUT ARE NOT… CareerBuilder

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Appeals Specialist PRN

Two Rivers Psychiatric Hospital Richmond, VA

of the Appeals Specialist are the resolution of all appeals relating to technical issues identified during the… Glassdoor

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BWPO APPEALS SPECIALIST / 40 HOURS / DAYS - BWH RADIATION ONCOLOGY

Partners - Brigham & Womens Hospital Brookline, MA

• Processes all third party insurance claims for payment • Handles patient and insurance company inquiries via phone, e-mail and written… Glassdoor

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Collections Specialist - Clinical Appeals

Parallon 89 Reviews Largo, FL

OF DUTIES - Performs account follow-up and resolution of patient receivables. DUTIES INCLUDE BUT ARE NOT LIMITED TO: * Monitor insurance claims by… CareerBuilder

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Medicare Appeals Specialist (Secondary Payer)

CGI Federal 100+ Reviews San Antonio, TX

CGI Federal, a wholly owned subsidiary of CGI and an industry leader in providing overpayment recovery services to healthcare payers throughout the… Glassdoor

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Grievance & Appeals Specialist

Tenet 40 Reviews Anaheim, CA

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services… Beyond.com

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RN Appeals/Denials Specialist II

Molina Healthcare 100+ Reviews San Antonio, TX

Manages submission, intervention and resolution of appeals, grievances, and/or complaints from Molina members and related outside agencies as a part… Glassdoor

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Appeals Specialist

Smoky Mountain Center Waynesville, NC

Coordinate and track referrals to Clinical Peer Reviewers. Prepare and maintain Denial/Appeal Files. Prepare and submit denial and appeal information… CareerBuilder

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