Billing Appeals Specialist - US - NY West Harrison

We currently have an opening for an detail-oriented Appeals Specialists to join our team.The ideal candidate will have at least one year of experience in an administrative role within an organization, preferably a law firm. · ...

We are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews.The Appeals Specialist level II performs research, investigation, · and analysis of appeals, · grievances, ...

Respond to written/verbal grievances and complaints submitted by members and providers in accordance with NCQA, CMS, State and other regulations. · ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility ...

The primary function of the Appeals Specialist is to support the Utilization Review (UR) Appeals process within the Department of Patient Accounts by providing follow-up and administrative assistance. · ...

The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. · ...

The primary function of the Appeals Specialist is to support the Utilization Review (UR) Appeals process within the Department of Patient Accounts by providing follow-up and administrative assistance.Responsibilities · Provides administrative support for the Utilization Review (U ...

The Billing Cycle Specialist is responsible for managing the complete revenue cycle for mental health services. · Ensures accurate timely reimbursement while maintaining compliance with federal state and payer-specific regulations. · ...

This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration of the NY HELPS Program, this title may be filled via a non-competitive appointment, · One year of permanent, competitive class service in a title eligible for ...

The Prior Authorization & Billing Specialist plays a critical role in ensuring timely access to mental health services by managing insurance authorizations, billing processes, and reimbursement workflows. · This position serves as a key liaison between clinical teams, insurance p ...

Join the team. Drive Sales. Be the Most You At Claire's, we're all about self-expression, creativity, and bringing the latest trends to life for our customers. · ...

This role plays a critical part in ensuring timely access to mental health services by managing insurance authorizations and billing processes. · The Prior Authorization & Billing Specialist serves as a key liaison between clinical teams, insurance payers and patients. · Ensure s ...

The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of Diseases (ICD10 CM/PCS codes) and entering coded information into an automated grouper system. · Add ...

We are seeking a dedicated Stock Associate to join our team. As a key member of our team, you will play a vital role in enhancing our customers' beauty experiences through exceptional service, in-depth inventory knowledge, and expert inventory management. · Foster an environment ...

We are seeking a dedicated Stock Associate to join our team. As a key member of our team, you will play a vital role in enhancing our customers' beauty experiences through exceptional service, · in-depth inventory knowledge, · and expert inventory management.Foster an environment ...

We are seeking a passionate Beauty Expert to join our team. · Build Client Relationships: Build and maintain strong, personalized relationships with customers. · ...

ENT and Allergy Associates is seeking a self-motivated, people-friendly full time Surgical Collector for our Corporate office location. · Contacting the insurance carriers via phone or online to follow up on claim status, verify insurance information and eligibility; · Reviewing ...

Job Description: · ENT and Allergy Associates, LLP and Hümi is seeking a self-motivated, people-friendly full time Surgical Collector for our Corporate office location · The Surgical Collector job responsibilities include:Working the assigned physician A/R reports and contacting ...

The Accounts Receivable Director will oversee all aspects of accounts receivable management, ensuring accurate and timely billing, collections, and revenue cycle management. · - Premium Compensation · - Great Benefits Package · - Fun Team, · - Professional Growth & Stability ...

We are looking for ambitious professionals with a strong history of excellent client service and consistent success in meeting sales targets across lighting and systems product lines. · ...