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3,099 appeals specialist jobs

CLINICAL DOCUMENTATION SPECIALIST

Inova Leesburg, VA

The Clinical Documentation Specialist (CDS) conducts record reviews on a defined inpatient population (ex, Medicare acute care) while patients are… Inova

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Senior Pre-Certification Specialist/Appeals Coordinator - SmartHealth

Ascension Health 66 Reviews Sterling Heights, MI

Under limited supervision, the Senior Pre-Certification Specialist/Appeals Coordinator is responsible for… CareerBuilder

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Clinical Appeals Specialist LPN/RN

HCA Shared Services/Supply Chain Largo, FL

Monitor insurance denials by running appropriate reports and contacting insurance companies to resolve claims denied for clinical reasons Identify… HealtheCareers

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UTILIZATION REVIEW SPECIALIST, LPN - APPEALS/DENIALS MGMT - (Mease Countryside H

St. Anthony's Hospital 11 Reviews United States

The Utilization Review Specialist functions as the primary liaison between the funding agents and all other related parties to ensure appropriate… Beyond.com

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Appeals Specialist

Public Consulting Group 100+ Reviews Springfield, IL

Glassdoor

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Denials And Appeals Specialist

Greenville Hospital System 42 Reviews Greenville, SC

High School Diploma or equivalent and five (5) years' Healthcare revenue cycle experience required. Denials and appeals management experience… Glassdoor

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RN Clinical Specialist II-Appeals & Grievance/Members-TEMPORARY (CA: Woodland Hi

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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Clinical Appeals Specialist

Capital District Physicians' Health Plan 18 Reviews Albany, NY

Clinical Appeals Specialist - Albany, New York US The Clinical… , the Clinical Appeals Specialist will review medical necessity and render… Glassdoor

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RN Appeals Specialist

Smith Arnold Partners Bronx, NY

* Reviews and coordinates utilization issues concurrently and retrospectively related to potential denials from managed care, government payers, and… Beyond.com

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Member Advocacy and Appeals Specialist I

HMSA 20 Reviews Honolulu, HI

Research and respond to member and provider appeals, complex complaints, grievances and inquiries relating to all aspects of health plan coverage… Glassdoor

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Appeals Specialist

Invision Sally Jobe 6 Reviews Englewood, CO

• Examines designated denial codes for specified insurances assigned to them. • Responsible for written and verbal appeals. • Reviews the… Glassdoor

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UTILIZATION REVIEW SPECIALIST, SENIOR - APPEALS/DENIALS MGMT - (Mease Dunedin Ho

St. Anthony's Hospital 11 Reviews United States

The Senior Utilization Review Specialist functions as the primary liaison between the funding agents and all other related parties to ensure… Beyond.com

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Grievance and Appeals Nurse Specialist

CalOptima 10 Reviews Orange, CA

• Prepares clinical reviews and provides monitoring of cases involving medical decisions and quality or care or service, and insures all cases are… Glassdoor

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DENIAL/APPEALS SPECIALIST

Presbyterian Healthcare Services 38 Reviews Albuquerque, NM

- Responsible for identifying and documenting insurance payer issues as they arise. Must communicate all issues to teammates and supervisor… Glassdoor

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Grievance and Appeals Specialist – easy apply

Logisticare 42 Reviews Garden Grove, CA

- Must be able to understand and follow complex instructions LogistiCare is the nation's leading managed healthcare organization specializing in the… Glassdoor

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RN Appeals/Denials Specialist (strong expereince in appeal/denials writting pref

Cancer Treatment Centers of America 84 Reviews Atlanta, GA

CTCA provides Stakeholders with exceptional support and easy access to a wide range of tools and resources they need to bring the best of themselves… Glassdoor

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Appeals Specialist

ASAP Staffing Northridge, CA

include the following: 1. Assist in the processing of appeals (reconsiderations), special projects and reconciliations from all sources. 2. Assist… Glassdoor

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Resource Specialist - Medication Prior Authorization – new

Providence Health & Services Portland, OR

• Have work that focuses on the technical support and the organization/coordination of support activities such as: production, program outcomes… Providence Health & Services

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