Appeals Specialist Jobs | Glassdoor
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Appeals Specialist Jobs

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  • 3.1
    Kforce – Fort Lauderdale, FL
    17 days ago 17d
    RESPONSIBILITIES: Kforce is seeking a Medical Collections and Appeals Specialist for a role in Fort Lauderdale, FL. Responsibilities… Contact payers to check claim status and reimbursement Phone appeals on denied claims Consistent follow-up on outstanding accounts…
  • 3.5
    Collabera – Mason, OH
    EASY APPLY
    20 days ago 20d
    and Legal to investigate and resolve member complaints and appeals. Prioritize and analyze member/provider issues and seek Clients… or actions. Maintain complete and accurate complaint and appeal records in the electronic database. Meet established quality…
  • 2.8
    Parallon – Richmond, VA
    23 days ago 23d
    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…
  • 3.7
    Winthrop-University Hospital – Mineola, NY
    Est. Salary $78k-$95k
    24 days ago 24d
    in both ICD-9 and ICD-10 CM format. Reevaluates and modifies appeal responses at each level prior to resubmission. Evaluates records… Partners with Patient Financial Services (PFS) to track status of appeals and prevent technical denials. Education: Bachelor's degree…
  • 3.6
    All's Well Health Care Services – Oakland, CA
    10 days ago 10d
    Job Description Registered Nurse Appeals and Grievance Position Details: Full-Time Great Location Opportunity for growth…
  • 3.1
    Kforce – Boca Raton, FL
    17 days ago 17d
    RESPONSIBILITIES: Kforce is currently looking for an Appeals Specialist for a temporary to permanent position that can sit remotely… reconsiderations, denials and writing appeals. Others tasks will include: Writing appeals to send to insurance companies…
  • 2.8
    Parallon – Richmond, VA
    4 days ago 4d
    schedule, from 8:30AM to 5:00PM. The Clinical Appeals Specialist will handle appeals requiring clinical input or interpretation as… Beaufont Springs Drive, Richmond, Virginia. Nurse - Clinical Appeals This applicant must be an RN or LPN with current state…
  • 4.8
    Morgan Stephens – Plano, TX
    EASY APPLY
    27 days ago 27d
    who are excited to grow and develop a career. A Claims Appeals Specialist performs detailed review and analysis to investigate audit… discrepancies. Interprets and understands health insurance appeals and provider dispute resolution processes, applicable clinical…
  • 4.2
    Kite Pharma, Inc. – Santa Monica, CA
    3 days ago 3d
    prior authorizations, pre-determinations, to appeals. The Reimbursement/Appeals Specialist will be responsible for assisting with gaining… www.twitter.com/kitepharma. The Reimbursement and Appeals Specialist is responsible for managing all reimbursement activities…
  • 3.4
    HealthCare Scouts – Louisville, KY
    26 days ago 26d
    We are seeking an Appeals Writer in the Louisville area. Candidates must have experience in writing appeal letters to insurance… Appeals Writer applicants MUST possess the following: Comfortable reviewing EOBs A/R follow-up experience Appeals/denials…
  • 3.3
    WellCare – Tampa, FL
    9 days ago 9d
    escalated issues involving member and provider Appeals. Department: HS-Appeals & Grievances Reports to: Supv.Appeals Location… Extender, Emma, Appeals Tracker, assess the situation, and enter data. Needs to access and interpret claim, appeal correspondence…
  • 3.1
    Kforce – Tampa, FL
    17 days ago 17d
    (FL) that is looking for an experienced Healthcare AR/Appeals specialists. This a career opportunity as they are a very successful… team! True Accounts Receivable (AR) experience is required, appeals, denials, etc. This company takes care of their employees and…
  • Inter Valley Health Plan – Pomona, CA
    1 days ago 1d
    and inputs data; Assists QI Specialist day-to-day as needed with grievance cases. Forward appeals cases to IRE, if required, with… letters, appeals, provider letters and maintains the Grievance and Appeals database, new appeals, updates status of appeals, inputs…
  • 3.4
    Minuteman Health – Boston, MA
    28 days ago 28d
    Grievance and Appeals Specialist This position participates in all aspects of the grievances, appeals and inquiry process… adhoc reports on grievances, complaints and appeals from the grievance and appeals database. Qualifications: Bachelor…
  • 3.2
    Molina Healthcare – Long Beach, CA
    8 days ago 8d
    and Medicare claims denials and appeals processing, and knowledge of NCQA guidelines for appeals and denials. Required License… organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member…
  • 3.2
    Creative Channel Services – Overland Park, KS
    Est. Salary $25k-$41k
    3 days ago 3d
    schedule appeal to you? If you are looking to join an industry leader for an exciting seasonal, part-time sales position CreativeChannel… for a Seasonal Part-time Retail Sales Specialist role today. A Retail Sales Specialist is responsible for engaging customers at…
  • 2.8
    Alameda Hospital – Oakland, CA
    Est. Salary $47k-$66k
    13 days ago 13d
    Alameda Health System wants to hear from you! As a Clinical Appeals Specialist, you will play a key role in optimizing Highland Hospital's… Initiates the appeal process, at the direction of the Supervisor and/or physician advisors, until the case is overturned, appeal options…
  • 3.2
    CNA – Sacramento, CA
    Est. Salary $61k-$91k
    1 days ago 13hr
    . Notifies agencies of adverse underwriting decisions, rate appeals, underwriting requirements, status and declinations. 5. Analyzes…
  • 3.2
    Marshfield Clinics – Marshfield, WI
    1 days ago 1d
    Reversal and Appeal Analyst role is dependent on demonstration of competency of required Claim Reviewer Specialist skills. Exclusion… addition, the Reversal and Appeal Analyst represents the Claims Department on the Provider Appeals Committee. Marshfield Clinic…
  • 3.4
    Regal Medical Group – Northridge, Clark, OH
    20 days ago 20d
    opening for a Professional Claims Appeals Specialist (Healthcare): The Claims Appeals Specialist has the responsibility to evaluate… Submit Completed Application Claims Appeals Specialist, Healthcare Description As one of the fastest growing…
  • 3.0
    Care New England – Providence, RI
    Est. Salary $62k-$74k
    17 days ago 17d
    INTEGRITY DEPARTMENT. Responsible for managing clinical denials and appeals including identifying opportunities to improve payer and provider…
  • 3.2
    CNA – Chicago, IL
    Today 11hr
    analyzes information on adverse underwriting decisions, rate appeals, underwriting requirements, status and declinations in order…
  • 1.7
    Fairmount Behavioral Health System – Richmond, VA
    21 days ago 21d
    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…
  • Shared Services – United States
    15 days ago 15d
    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…
  • 3.2
    Universal American – Houston, TX
    16 days ago 16d
    Requisition Number: 6410 Job Title: Appeals and Grievances Specialist Location: Houston, Texas 77081 Job Description: Well-capitalized… states serving more than 292,000 members. The Appeals and Grievances Specialist I will be responsible for reviewing and responding…
  • 3.2
    Independence Blue Cross LLC – Philadelphia, PA
    6 days ago 6d
    clinical resource and provides support and expertise to the appeals specialists. · Thoroughly reviews and screen cases to ensure all… medical records from practitioners. · Reviews the appeals specialists' investigation documentation, member and provider contacts…
  • 3.3
    Piedmont Healthcare – Stockbridge, GA
    6 days ago 6d
    Coding Specialist (CCS). ADDITIONAL QUALIFICATIONS: Master’s degree and previous experience writing DRG Appeals preferred… and Medicaid appeals briefs in support of denied cases throughout appeals at all levels of the government appeals process. In addition…
  • 3.2
    Molina Healthcare – Doral, FL
    15 days ago 15d
    and prepare responses to appeals and grievances. • Elevates appropriate appeals to the Appeals Specialist. • Generates and mails… Job Description Job Summary Molina Healthcare's Appeals & Grievances jobs are responsible for reviewing and resolving member…
  • 3.2
    Creative Channel Services – Portland, OR
    Est. Salary $28k-$38k
    1 days ago 13hr
    part-time, weekend schedule appeal to you? Can you create relationships and close sales with ease? If you are looking to join… Retail Sales Specialist – Tech Toys Do you have a passion for technology? Do you have a passion for Toys? Does a part-time…
  • In Step Podiatry Center – Bowie, MD
    EASY APPLY
    Est. Salary $34k-$48k
    8 days ago 8d
    software and present to patients Reviewing denials, processing appeals as well correcting claim errors Following up on inpatient… and customer service skills DUTIES: The Medical Billing Specialist will be responsible for but not limited to the following:…
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