Appeals Specialist II

The Appeal Specialist is responsible for handling bill review appeals nationally from health care providers · and works as a liaison between IMS and claims adjusters to facilitate bill processing.High School Diploma or GED required. · Excellent written and verbal communication s ...

The Appeals Specialist is responsible for monitoring and tracking the status of appeals as they relate to the Allied Advocate program. · Reviewing appeal and supporting documentation · ...

The Appeals Specialist is responsible for all duties related to managing payor contracts, · negotiation,and renegotiation of new and existing payor contracts.This position will be responsible for resolution of assigned cases, · accurate and timely documentation of case actions, · ...

We are seeking an Appeals Specialist for our team to ensure that we continue to provide all patients with high quality, · efficient care.We want you to apply · ...

The Appeals Specialist will manage the organization's third party payer appeals through the ability to analyze · ...

The Appeals Specialist is critical to ensuring accurate and timely resolution of insurance claims and appeals.The position requires reviewing denied insurance claims, preparing appeals, collaborating with teams, monitoring outcomes, · maintaining records, · and performing other r ...

Mclaren Health Plan a managed care organization dedicated to meeting healthcare needs of each member is looking for an Appeals Specialist to join its team. · ...

General Description (Duties & Responsibilities) · The Appeals Specialist is critical to ensuring accurate and timely resolution of insurance claims and appeals for our medical devices, contributing directly to our financial health and patient satisfaction. · Review and analyze de ...

The Appeals Specialist is responsible for all duties related to managing payor contracts, negotiation, and renegotiation of new and existing payor contracts. · ...

The Atlantic Region Central Billing Office (ARCBO) is seeking a dynamic and talented Appeals Specialist responsible for resolving all appeals relating to technical issues identified during the billing of claims. · ...

We are looking for a Appeals Specialist to join in leading the organization forward. · MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. · ...

Responsibilities: · Atlantic Region CBO: · The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Serv ...

The Appeals & Grievances (A&G) unit processes member and non-contracted provider appeals for all of HF's line of businesses which include commercial, Medicaid, dual enrollments, Medicare and complete care. Appeals Specialist is the subject matter expert responsible for non-clinic ...

The Appeals & Grievances (A&G) unit processes member and non-contracted provider appeals for all of HF's line of businesses which include commercial, Medicaid, dual enrollments, Medicare and complete care. Appeals Specialist is the subject matter expert responsible for non-clinic ...

· At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sec ...

McLaren Health Plan is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. · We are looking for an Appeals Specialist. · ...

We are seeking a detail-oriented and proactive Appeals Specialist to join our dynamic healthcare team. · The ideal candidate is organized, knowledgeable about medical coding and insurance laws, and passionate about advocating for patients and providers alike.ResponsibilitiesRevie ...

· Company Description · HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest a ...

We are seeking a motivated · A motivated Appeals Specialist to join our dynamic team. ...

The Medicare Appeals Specialist is responsible for independently coordinating Part C & Part D Expedited, Pre-Service and Standard Appeals and Grievances from receipt to resolution. · ...

Make a measurable impact by overturning denials, recovering missed revenue, and improving patient account outcomes. · ...