Appeals Specialist I - Baltimore

The Appeals Specialist I is responsible for the initial analysis of appeals and grievance correspondence, and determination of next steps for Commercial and Government Program lines of business. The incumbent is responsible for collecting, organizing and tracking information to f ...

The Appeals Specialist I is responsible for the initial analysis of appeals and grievance correspondence, · The incumbent is responsible for collecting, organizing and tracking information to facilitate and expedite processing of appeals and grievances received from a variety of ...

The Appeals Specialist I is responsible for the initial analysis of appeals and grievance correspondence, · and determination of next steps for Government Program lines of business.We are looking for an experienced professional to work remotely from within the greater Baltimore m ...

The Appeals Specialist I is responsible for the initial analysis of appeals and grievance correspondence, · and determination of next steps for Commercial and Government Program lines of business. · ...

The Appeals · Specialist I is responsible for the initial analysis of appeals and/or grievance correspondence, · and determination of next steps for Commercial and FEP lines of business.The role requires collecting, · organizing and tracking information to facilitate and expedit ...

We are seeking a Patient Accounts Specialist to join MedStar Health’s Patient Accounting Non-Gov Follow-up North team. · Interprets and evaluates appeals to include follow-up with payers for timely turn around for claims resolution and reimbursement. · Must be able interpret expl ...

+ Job summary: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse coverage decisions. + Qualifications: High School Diploma or GED, RN - Registered Nurse - State Licensure And/or Compact State Licensure ...

The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. · ...

We are looking for an experienced clinician to work remotely from within the greater Baltimore metropolitan area. ...

The Clinical Appeals Nurse completes research and evaluation of member and provider disputes regarding adverse decisions. The incumbent will work remotely from within the greater Baltimore metropolitan area and come into a CareFirst location periodically for meetings training and ...

We are looking for an experienced clinician to work remotely from within the greater Baltimore metropolitan area. · The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. · ...

We are looking for an experienced clinician to work remotely from within the greater Baltimore metropolitan area. · The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. · We ...

The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Nurse utilizes clinical skills and knowledge of all applicable State and Federal rules and regulati ...

The Pathology Department is seeking an AR Revenue Cycle Specialist to be responsible for the basic collection of unpaid third-party claims and standard appeals.Communicates with payers to resolve issues and facilitate prompt payment of claims. · ...

The Clinical Appeals Nurse completes research and evaluation of member and provider disputes regarding adverse coverage decisions. We are looking for an experienced clinician to work remotely from within the greater Baltimore metropolitan area. · Investigates and analyzes written ...

The Pathology Department seeks an AR Revenue Cycle Specialist. · Uses A/R follow-up systems to identify unpaid claims. · Gathers information required to produce clean claims. · Reviews patient registration information as needed. · ...

The Clinical Appeals Nurse completes research and evaluation of member and provider disputes regarding adverse decisions. · Investigates appeals requests using nursing expert knowledge. · Responds to such requests with original letters upholding corporate policies and decisions. ...

+ · We are seeking an experienced Business Office Manager (BOM) for a Skilled Nursing Facility in Maryland. · Serve as the primary Medicaid expert · ...

The Maryland Workers' Compensation Commission seeks to secure the equitable and timely administration of the provisions of the Maryland Workers' Compensation law on behalf of its customer. · Analyzes legal Awards/Orders from Commissioner's decisions. · Cordiantes case Management ...

This opportunity offers the chance to take over an established practice due to a physician retiring. Located just northwest of Washington, DC, this vibrant suburban community offers the perfect blend of urban convenience and neighborhood charm. · Work alongside several experience ...