Certified Coder Appeals, Remote, 8:00a-4:30p - United States

The Federal Appeals Firm is seeking contract counsel with superb writing skills to assist with brief writing at the federal level. · You must be admitted to practice in at least one state in the nation. · You must also have excellent writing ability. · Strong work ethic and commi ...

The Federal Appeals Firm is a national Social Security disability law practice dedicated exclusively to federal court appeals. We are expanding and seeking motivated and detail oriented attorneys to join us in an Of Counsel role focused on federal court appellate litigation. · Dr ...

Analyze, triage, investigate, research and process standard and escalated appeals , complaints or state complaints from members , providers , health plans and state agencies . · Able to work overtime as needed. · ...

The Appeals Support Representative role directly supports the Clinical Appeals Specialist in the administrative functions of Denials and Appeals within the Utilization Review Team.Essential Job Functions: · Complete outbound calls to payers for status updates on retro authorizat ...

We are committed to operational excellence, regulatory compliance, · and accurate revenue cycle management to support high-quality EMS delivery. · ...

The Manager is responsible for the day-to-day Appeals and Denials process by providing general oversight including leadership for the inpatient DRG/Coding Denials and Appeals process which includes tracking prioritizing trending and writing appeal letters identifying training and ...

The Clinical Appeals Manager will work in conjunction with the Director of Clinical Appeals. The Manager will oversee the daily operations of a Clinical Appeals team and will assist in the planning, implementation, and execution of department and organizational goals. · Leads a t ...

Join our dynamic healthcare team as a Medical Claim Appeals Specialist. · Review and analyze denied or disputed insurance claims to identify reasons for denial and determine appropriate appeal strategies · Maintain organized records of all claim correspondence,Collaborate with he ...

The Clinical Appeals Reviewer is responsible for processing appeals and ensuring all milestones are met in compliance with regulatory requirements. · Responsibilities: · Process appeals, ensuring compliance with all regulatory milestones · Outreach to appellants or their represen ...

This position reviews provider billing/claims appeals and reconsiderations, supports legal responses to medical billing disputes, and ensures compliance with Workers' Compensation regulations and best practices. · ...

Paramele Disability Advocates seeks a mission-driven Veterans Affairs (VA) Attorney to represent veterans in their claims for disability compensation before the U.S. Department of Veterans Affairs (VA) and the Board of Veterans' Appeals. · ...

+ Academic Appeals Specialist + · American Public University System +The Academic Appeals Specialist is responsible for responding to student appeal requests, investigating and delivering appropriate appeal outcomes,+Responsibilities:Serves as a point of contact for first-level e ...

Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an active New York medical license and Workers Compensation Board Certification to conduct ...

Inova Health is looking for a dedicated Registered Nurse (RN) Clinical Documentation Denials Auditor to join the team. This role will be fully-time remote. · Evaluates specificity and completeness of physician documentation · Summarizes audit findings for individual records along ...

Bilingual Editor Producer- Remote Entravision, one of America's leading Spanish media companies, is seeking multiple talented Bilingual Editor Producers to join our innovative Luminex team remotely If you have a passion for storytelling and a knack for creating compelling visual ...

Inova Health is looking for a dedicated Registered Nurse (RN) Clinical Documentation Denials Auditor to join the team. · ...

Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an active New York medical license and Workers Compensation Board Certification to conduct ...

Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrists with an active New York medical license and Workers Compensation Board Certification to conduct Utiliz ...

Collect monies owed by insurance carriers and privately paying patients. Ensure accurate and timely billing processes, maximizing revenue and supporting financial operations. · ...

Inova Health is seeking a dedicated Reimbursement Manager to join the team on a full-time day shift Monday-Friday basis. · ...