beBeeAppeal Jobs in United States

Revenue Cycle Specialist: A Key Role in Healthcare Operations · The Revenue Cycle Specialist's primary function is to analyze and draft high-quality appeal letters addressing denied or underpaid claims. · This position requires a comprehensive understanding of payer requirements, ...

Appeals Professional · Job Description Overview · This role provides critical support for claims activities, focusing on reviewing and resolving member and provider complaints in a timely manner. · ...

Healthcare Appeal Specialist Role OverviewIn this challenging and rewarding role, you will be responsible for handling insurance denials by monitoring reports and documenting appeal results. Your strong organizational skills will enable you to oversee staff managing post-discharg ...

Key Responsibilities: · Negotiator of Healthcare Insurance Denials · Review medical records and coding documentation to identify potential discrepancies in insurance claims processing. · Analyze denial patterns to pinpoint the root causes, then collaborate with stakeholders on pr ...

The position of Legal Appeal Manager entails overseeing the appeal process, collaborating with staff to solve issues, leveraging problem-solving skills to resolve disputes. Responsibilities include mentoring junior staff members on court procedures and protocols for handling resp ...

Appellate Specialist, utilize your clinical skills in appeals determination · Perform critical review activities which ensure consistency across systems:/ span> Detailed consideration is given of client directives regarding medication concerns such as safety issues related outsi ...

Job Title: · Compliance Resolution Specialist · Manage complex appeal scenarios with multiple issues. · ...

Pharmaceutical Appeals Specialist · We are seeking an Appeals Pharmacist to review medication coverage appeals and make informed decisions. · Clinical expertise merged with advocacy efforts for equitable access, ensuring patients receive the treatment they need. · ...

Legal Appeal Specialist Job Description · This is a high-impact role that involves leading a team handling legal appeals, providing expert training, resolving complex cases, and ensuring accuracy in processing. · ...

Clinical Appeals Coordinator · Triage incoming appeals/grievances; assign tasks to team members; · The specialist will be responsible for utilizing technology such as Jiva to streamline processes and improve efficiency. Additionally, they should be proficient in using multiple so ...

Key Responsibilities: · Create high-quality appeal letters to maximize overturn rates in a fast-paced environment · ...

Denial RN DRG Appeal Specialist · Job Description: · This role involves ensuring accurate medical coding, proper documentation and collaboration with other departments to address payer concerns. · Key Responsibilities: · Analyze appeal denials thoroughly. · - · patterns identify ...

Job Opportunity · We are seeking an experienced Specialist to join our team in the role of DRG Appeal Writer. · Responsibilities include reviewing and analyzing medical records, coding and clinical documentation to validate or appeal payer denials. · The ideal candidate will have ...

Job Overview · We are seeking an experienced professional to oversee appeals and denials processes as a RN Manager. The successful candidate will be responsible for developing effective relationships with payors, observing case outcomes, supporting denial management processes, en ...

Job Title: Senior Appeal and Denial Specialist Remote NE · The role of a Senior Appeal and Denial Specialist is to facilitate the denial and appeal process through exercising clinical expertise. This includes reviewing medical records for medical necessity and policy requirements ...

Job Description · Your Future Awaits Here · We partner with health plans and providers to achieve better patient outcomes for people with complex and costly health conditions. · Evolent seeks to connect the pieces of a fragmented healthcare system, ensuring patients receive consi ...

We are seeking a dedicated professional for the role of Appeals Specialist to join our team. · About the Position · This is an excellent opportunity for individuals with strong problem-solving skills and attention to detail. · ...

Claims Resolution Specialist · Job Summary: · The Claims Resolution Specialist plays a vital role in maximizing revenue recovery by ensuring seamless denial management and analysis. Reporting directly to the Business Office Director, this role focuses on follow-up on past due acc ...

Appeals Resolution Specialist · The Appeals Resolution Specialist plays a pivotal role in our organization by providing support for claims activities. This includes reviewing and resolving member and provider complaints. · As the lead specialist for submission, intervention, and ...

Job Description · Clinical denial management RNs are responsible for reviewing cases and determining potential avenues of appeal for denied claims. · ...