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1,580 Clinical Appeals Specialist Jobs

REMOTE OPPORTUNITY - RN Clinical Auditor and Revenue Recovery Specialist - Kindr

Kindred Healthcare Grapevine, TX

Responsible to respond to, monitor and analyze all governmental requests, including but not limited to ADRs, CERTS, RACs, ZPICs, MICs, and all other… Kindred Healthcare

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Clinical Appeals Specialist LPN/RN CIN – new

HCA Shared Services/Supply Chain Mason, OH

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

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Collections Specialist - Clinical Appeals CIN – new

Parallon 56 Reviews Mason, OH

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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Clinical Appeals Specialist RN/LPN with potential to WFH – new

HealthTrust 17 Reviews Orange Park, FL

Handles appeals requiring clinical input or interpretation Monitor insurance denials by running appropriate reports and contacting insurance… Glassdoor

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Clinical Appeals Specialist RN/LPN with potential to WFH – new

HCA North Texas Orange Park, FL

Handles appeals requiring clinical input or interpretation Monitor insurance denials by running appropriate reports and contacting insurance… Glassdoor

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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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Clinical Appeals Specialist LPN/RN CIN – new

Parallon 56 Reviews Mason, OH

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

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Clinical Appeals Nurse Specialist – new

HealthTrust 17 Reviews Richmond, VA

You will monitor insurance denials by running appropriate reports and contacting insurance companies to resolve claims denied for clinical reasons… Glassdoor

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Clinical Appeals Specialist LPN/RN

Parallon 56 Reviews Largo, FL

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

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Clinical Appeals Nurse Specialist – new

HCA North Texas Richmond, VA

You will monitor insurance denials by running appropriate reports and contacting insurance companies to resolve claims denied for clinical reasons… Glassdoor

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Collections Specialist - Clinical Appeals

Parallon 56 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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Collections Specialist - Clinical Appeals CIN

HealthTrust 17 Reviews Mason, OH

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

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Collections Specialist - Clinical Appeals CIN

HCA North Texas Mason, OH

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

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RN or LPN Appeals and Grievance Clinical Specialist

Healthfirst (New York) 65 Reviews United States

• Ensure that appeals and grievances are classified as an appeal or a grievance regarding either a denial of service, denial of payment or a… Glassdoor

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Clinical Appeals Specialist LPN/RN CIN

HealthTrust 17 Reviews Mason, OH

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

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Clinical Appeals Specialist, RN

Health Partners 8 Reviews Philadelphia, PA

•Keeps current with all rules, regulations, policies and procedures relevant to the Complaints, Grievances and Appeals Unit •Review and interpret… Glassdoor

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Member Research Specialist

Prime Therapeutics Omaha, NE

• Maintain expert knowledge of Medicare member systems, including Primes RxCLAIM® claims processing system, Primes member issue database (Prime Call… Prime Therapeutics

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