- Pyramid Consulting, Inc (Rancho Mirage, CA)
- Immediate need for a talented Denials/ Appeals Coordinator . This is a 03+ Months Contract opportunity with long-term potential and is located in Rancho Mirage, ... CA(Onsite) . Please review the job description below and contact me ASAP if you are interested. Job ID:24-25259 Pay Range: $19 - $21/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick… more
- Creative Financial Staffing (Cleveland, OH)
- APPEALS SPECIALIST WHY YOU SHOULD BE THE APPEALS SPECIALIST Our client is a law firm located in Cleveland, Ohio Hybrid 1 day per week Great health benefits, ... Paid Maternity leave and tuition assistance RESPONSIBILITIES OF THE APPEALS SPECIALIST Perform appeal edits and create appeals... APPEALS SPECIALIST Perform appeal edits and create appeals in a variety of ebilling websites. Record all… more
- Creative Financial Staffing (Cleveland, OH)
- Appeals Specialist About the company and Appeals Specialist opportunity: Our client is a law firm located in Cleveland, Ohio Hybrid 1 day per week Great health ... $50,000 to $60,000 Essential Duties and Responsibilities of the Appeals Specialist: Perform appeal edits and create appeals... Appeals Specialist: Perform appeal edits and create appeals in a variety of ebilling websites. Record all… more
- Preferred Solutions Group (Bethesda, MD)
- …the appropriateness of the release and review and make recommendations regarding appeals . . Review documents and responses to ensure compliance with the Acts ... Counsel in reviewing and arriving at recommendations regarding requests involving administrative appeals . . Review appeals for non-release of information or fees… more
- Blanchard Valley Health System (Findlay, OH)
- …of productivity to effectively reduce days in A/R. Develops and writes appeals for denials associated with the payment of claims within the department/division. ... Maintains appropriate timeliness of appeals for denials. Identifies other means and resources to...A/R and payer issues, avoid timely claim consideration/filing, failed appeals , and/or increased denials & write-offs. Participates in and… more
- US Tech Solutions, Inc. (Columbia, SC)
- …as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals . Determines whether to return, deny or pay claims following organizational ... department guidelines. . Examines and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining… more
- Accounting Now (Pinellas Park, FL)
- …companies on unpaid insurance accounts identified through aging reportsAble to identify an appeals worthy claim and or ability to process appeals online or ... insurance accounts identified through aging reportsAble to identify an appeals worthy claim and or ability to process ...appeals worthy claim and or ability to process appeals online or via paper submission; Assist with billing… more
- DivIHN Integration Inc (Livermore, CA)
- …websites. o Accurately document accounts collection notes. o Responsible for processing appeals and researching of claims. o Follow specific payer guidelines for ... appeals submission. o Prioritize and manage accounts to resolve...accounts and provide suggestions for resolutions. o Escalate exhausted appeals efforts for resolution with payer. o Performs assigned… more
- CGT Staffing (Atlanta, GA)
- …setting up matters for e-billing on vendor sites and within 3E. Coordinates appeals for rejected invoices. Provides client accruals, status updates and budgets upon ... Verifies accuracy of billing and supporting documentation, as required. Finalizes and distributes invoices in accordance with Firm and Client guidelines. Researches and responds to billing inquiries from both attorneys and clients in a timely and professional… more
- Axelon Services Corporation (Highland Beach, FL)
- …appropriate discharge plan, care plan, and coordination of acute care and long term care services * Assist member with filing and resolving complaints and appeals ... This position is member facing Job Description: Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of orientation, care plan development,… more
- Ada S. McKinley Community Services, Inc. (Chicago, IL)
- …direct involvement as it relates to electronic claims processing, adjudication and appeals . * Prepare and present claim appeal documentation as part of revenue ... recovery where needed. * Initiate and coordinate special projects designed to more accurately provide fiscal and financial reporting. * Must have sound fiscal decision-making skills. * Communicate to Management and Supervisors the practices and processes that… more
- Penske Truck Leasing Co., LP (Reading, PA)
- …or manager with operating tax compliance processes including rendition/return filing, appeals and abatements and refund/bill entry. * Be able to understand ... or manager with operating tax compliance processes including rendition/return filing, appeals and abatements, bill entry for operating tax * Analyze processes,… more
- US Tech Solutions, Inc. (Columbia, SC)
- …of professional, inpatient or outpatient, facility benefits or services, and appeals . Documents decisions using indicated protocol sets or clinical guidelines. ... Provides support and review of medical claims and utilization practices. May provide any of the following in support of medical claims review and utilization review practices: Performs medical claim reviews and makes a reasonable charge payment determination.… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …other internal groups regarding determination status and results (seniors, pharmacists, appeals , etc). . Identify and elevate clinical inquiries to the pharmacist ... team as appropriate . Other duties assigned, for example faxes, sorting, email boxes, CAS maintenance, etc. Experience: . 0 to 3 years of related work experience. Skills: . Prior Authorization . Call handling experience. Education: . High School diploma or GED… more
- Compass Health Network (Columbia, MO)
- …to meet specified team goal minimumDevelop creative advertising approach that appeals to the most qualified candidates utilizing cost-effective and efficient means ... internally and externally for recruitment purposesUse a variety of resources to identify and attract quality candidates to include career fairs, on-line job fairs, internship programs, community network events, and other recruiting opportunitiesAdministrate… more
- On Call Counsel (New York, NY)
- …settlement of special education claims.Prepare and argue difficult cases and appeals in administrative tribunals.Review, revise, and approve agreements prepared by ... other attorneys.Draft memoranda seeking fiscal settlement authority.Analyze the relative strength of impartial hearing cases and evaluate the appropriateness of plaintiffs' demands.Instruct appropriate offices regarding their obligations to parents and… more
- Option Care Health (Austin, TX)
- …with Billing and Collection Training and completes "second level" appeals to payers.Job Description: Job Responsibilities:Submits timely, accurate invoices to ... payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized… more
- Creative Financial Staffing (Houston, TX)
- …with a focus on energy-related assets and properties. Manage assessment appeals , exemptions, and valuation processes effectively. Severance Tax: Specialize in ... severance tax compliance and reporting, especially within the energy industry. Ensure accurate calculation and timely filing of severance tax returns. Private Equity Income Tax (Preferred): Familiarity with private equity income tax concepts and regulations is… more
- Compass Health Network (Sullivan, MO)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... behavior to best serve our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a PRN position, the candidate will be scheduled for 8-hour days and must be… more
- Dialysis Clinic, Inc. (Sacramento, CA)
- …for accuracy as well as sending out initial claims, corrected claims and appeals .Starting pay: $23.00/hr. This position is for the California / NM region. ... Responsibilities Review patient's insurance coverage upon admission to determine coordination of benefits, eligibility, and other factors.Obtain and enter any authorizations for new patients that have coverage that requires it, as well as follow up on any… more
