Appeals Specialist Jobs | Glassdoor

Appeals Specialist Jobs

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  • 3.6
    Overlake Medical Center and Clinics – Bellevue, WA
    Est. Salary $67k-$86k
    4 days ago 4d
    Working knowledge of Case Management, Discharge Planning, Appeals Management, Clinical Documentation Improvement, and/or Utilization…
  • 3.2
    VISITING NURSE SERVICE OF NEW YORK – New York, NY
    28 days ago 28d
    each grievance or appeal decision. Develops correspondence communicating the outcome of grievances and appeals to enrollees and/… . Responsibilities and Qualifications: Resolves grievances, appeals and external reviews for VNSNY CHOICE product lines - Managed…
  • Community Health System – Sarasota, FL
    4 days ago 4d
    audit review and validation Files timely disputes/appeals for erroneous audit findings Performs appropriate adjustments… upon audit validations Works closely with the Denial/Appeal Team to assure timely follow-up and completion of accounts…
  • 3.5
    Symetra Financial – Enfield, CT
    4 days ago 4d
    Claims team has an opening for an experienced Appeals Specialist. The Appeals Specialist uses in-depth knowledge of Short Term Disability… render an accurate appeal decision. • Resolve appeals timely (within mandated timeframes) and communicate appeal outcomes to appropriate…
  • 3.4
    Washington Hospital Center – Washington, DC
    5 days ago 5d
    maximizes hospital revenue by working collaboratively with Appeals Coordinators, Physician Advisors, Clinical Resource Coordinators… external contacts to ensure timely processing of denials and appeals. Incumbent will be actively involved in multi-disciplinary…
  • 3.3
    CGI – San Antonio, TX
    17 days ago 17d
    Job Description Appeals Specialist Position Description This position supports the recovery of Medicare funds for medical… correspondence from employers, Group Health, and Non-Group Health Plans appealing Medicare's assertion of improper coordination of benefits.…
  • PAS - Nashville – United States
    5 days ago 5d
    Summary – The Appeals Specialist is responsible for performing end to end tasks for technical appeals. Supervisor –Appeals Manager… limited to): Triage incoming inventory for the Appeals team, validating appeal criteria is met Compose technical denial arguments…
  • Shared Services Center - Sarasota – Sarasota, FL
    6 days ago 6d
    for audit review and validation Files timely disputes/appeals for erroneous audit findings Performs appropriate adjustments… based upon audit validations Works closely with the Denial/Appeal Team to assure timely follow-up and completion of accounts…
  • Shared Services - Houston – United States
    10 days ago 10d
    Job Summary – The Appeals Specialist is responsible for performing end to end tasks for technical appeals. Duties (included… limited to): Triage incoming inventory for the Appeals team, validating appeal criteria is met Compose technical denial arguments…
  • 2.9
    Lancaster Regional Medical Center – Sarasota, FL
    6 days ago 6d
    for audit review and validation Files timely disputes/appeals for erroneous audit findings Performs appropriate adjustments… based upon audit validations Works closely with the Denial/Appeal Team to assure timely follow-up and completion of accounts…
  • 3.6
    Presbyterian Healthcare Services – Albuquerque, NM
    Est. Salary $35k-$52k
    23 days ago 23d
    EWCM RESEARCH SPECIALIST - APPEALS & GRIEVANCE - FULL TIME (1 FTE) - DAYS (Job ID: 7267) Type of Opportunity: Full Time FTE… requirements for complaint, grievance and appeals processing. *Logs complaints, grievances, and appeals issues, and identifies trends. Must…
  • 4.2
    Healthcare Support – Frisco, TX
    30+ days ago 30d+
    management, and generating appeals for denied or underpaid claims. Minimum Requirements for Appeals Specialist: HS/Diploma GED equivalent… Job Description Are you an experienced Appeals Specialist looking for a new opportunity with a prestigious healthcare company?…
  • Ethos Laboratories – Newport, KY
    15 days ago 15d
    plus ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: The Appeals Specialist assesses and completes appropriate documentation for tracking… Diploma. 5 or more years of medical billing, especially in appeals and follow up. Laboratory and/or worker’s compensation experience…
  • 3.9
    Equian LLC – Lakewood, CO
    26 days ago 26d
    The Appeals Specialist is responsible for three distinct support functions for the Resolution and Appeals Team: Analyzing… Analyzing appeals and resolution matters of a complex nature, and composing/drafting appeal responses and related correspondence. Responsibilities…
  • 2.9
    New York Methodist Hospital – Brooklyn, NY
    23 days ago 23d
    Job Summary In this role, the Appeals Specialist directly reviews fiscal denials ad assists in the preparation… physician and physician advisor review of cases for a timely appeal response. Performs data queries to profile denial activity…
  • 3.0
    CareSource – Dayton, OH
    3 days ago 3d
    Title Provider Appeals Specialist City Dayton Description Role and Responsibility: § Review appeals submitted by Medicaid… Review submitted appeals daily for validation of the appeal § Identify appropriate claim problem within the appeal: corrected claim…
  • 3.5
    Johns Hopkins Hospital – Baltimore, MD
    2 days ago 2d
    Johns Hopkins Hospital Pay Grade: CN Appeals Utilization Management Specialist I in the UM/Care Coordination/Clinical Resource… Responsibilities include medical record review, third party payer appeals for Inpatient, Outpatient and Emergency Department commercial…
  • 3.8
    Children's Hospital (Omaha) – Omaha, NE
    4 days ago 4d
    appropriate appeals necessary for reimbursement. Receives denied claims and researches appropriate appeal steps Communicates…
  • 3.0
    McLaren Health Care – Mount Clemens, MI
    2 days ago 2d
    handles the appeals process for third party payor denials, primarily RAC related activities and commercial appeals beyond the first… documentation and intensity of service application during the appeal process to ensure proper reimbursement is achieved. REQUIRED…
  • 3.5
    Boston Medical Center HealthNet Plan – Charlestown, MA
    3 days ago 3d
    The Appeals and Grievance Specialist is responsible for managing the resolution process of medical and pharmacy member appeals… Key Functions/Responsibilities: Appeals Responsibilities: Executes member appeals across multiple departments within the…
  • 3.0
    CareSource – Dayton, OH
    16 days ago 16d
    Number 17-0112 Post Date 2/9/2017 Title Grievance & Appeals Specialist City Dayton Description Role and Responsibility… Assist members when filling appeals; educate member, document and route the information to Clinical Appeals Coordinator Maintain…
  • 3.3
    Aerotek – Des Moines, IA
    6 days ago 6d
    experience - 2 years of Appeals experience in working with insurance companies Job Duties: - Appealing to the insurance companies… to payers a day. - Will be writing appeal letters; will fill in details into the appeal regarding the denied claim…
  • Shared Services - Richmond – United States
    4 days ago 4d
    to 5:00PM. Appeals Specialist - Clinical Appeals – Client Business The Appeals Specialist is responsible for… tasks for technical appeals: Triage incoming inventory for the Appeals team, validating appeal criteria is met…
  • Water's Edge Dermatology – Palm Beach Gardens, FL
    3 days ago 3d
    Summary/Objective The Insurance Collections/Appeals Specialist is responsible for collecting monies owed on the Accounts Receivable… collection efforts. Appeals all incorrectly denied claims. Follows up on a monthly basis on all prior appeals pending, and documents…
  • 3.1
    Inland Empire Health Plan – Rancho Cucamonga, CA
    EASY APPLY
    3 days ago 3d
    Possession of high school diploma or equivalent. Four (4) years experience in a managed care environment in the area of…
  • 3.8
    Pride Institute – Richmond, VA
    5 days ago 5d
    The primary responsibilities of the Appeals Specialist are the resolution of all appeals relating to technical issues identified… The following are the job requirements for the Appeals Specialist Position: 1. The qualified candidate for this position…
  • 3.6
    Ingham Regional Medical Center – Flint, MI
    3 days ago 3d
    2195 Post Date 4/19/2017 Title Utilization Review Appeals Specialist Job Family Nursing Subsidiary McLaren Flint Department… handles the appeals process for third party payor denials, primarily RAC related activities and commercial appeals beyond the first…
  • 4.2
    Healthcare Support – Detroit, MI
    26 days ago 26d
    Management and generating appeals for denied or underpaid claims Requirements: Appeals and Denials Specialist requires HS/Diploma… Job Description Are you an experienced Appeals and Denials Specialist looking for a new opportunity with a prestigious healthcare…
  • 2.9
    Queen of the Valley Medical Center – Irvine, CA
    3 days ago 3d
    Leadership to improve efficiencies and minimize delays in appealing rejected claims Works as part of a team to develop dashboards…
  • 3.9
    Fred Hutchinson Cancer Research – Seattle, WA
    9 days ago 9d
    at https://www.sccaprotontherapy.com/. The Clinical Appeals Specialist position will report to the Manager of Patient Financial… your application: Click here to apply for the CLINICAL APPEALS SPECIALIST position…
  • 3.0
    Seattle Cancer Care Alliance – Seattle, WA
    8 days ago 8d
    at https://www.sccaprotontherapy.com/. The Clinical Appeals Specialist position will report to the Manager of Patient Financial… your application: Click here to apply for the CLINICAL APPEALS SPECIALIST position…
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