- 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...interprets and utilizes computer reports as needed within all systems and data bases. Adheres to all HIPAA and… 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
- DivIHN Integration Inc (Livermore, CA)
- …RESPONSIBILITIES: Collector Level Io Demonstrates proficiency and accuracy in operating systems directly related to specific job function. o Initiates contact with ... communications with staff and management. o Demonstrates basic understanding of billing system ; able to complete basic tasks based on job function. o Adapts… more
- Accounting Now (Pinellas Park, FL)
- …the medical billing and collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient ... companies on unpaid insurance accounts identified through aging reportsAble to identify an appeals worthy claim and or ability to process appeals online or… 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
- 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
- Creative Financial Staffing (Houston, TX)
- …Provide support in tax planning and structuring for private equity transactions. Tax System Proficiency: Utilize tax software systems such as OneSource, Vertex, ... tax, with a special emphasis on energy-related taxation. Additionally, proficiency in tax systems such as OneSource, Vertex, or Avalara is highly desirable. Perks of… 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. ... document all follow up and steps taken in electronic system to ensure accounts are being followed up on...onto the patient accounts. Review contracts both original and system loaded and coordinates with internal departments to ensure… more
- Staffing Now (Manassas, VA)
- …election and maintenance of cafeteria benefits.Processes Virginia Retirement System (VRS) retirement requests.Reconciles monthly benefits invoices.Communicates new ... questions and complaints, interfaces with third-party administrators to resolve claim appeals .Works with employees to promote health and wellness in the workplace;… more
- CGT Staffing (Atlanta, GA)
- …manner. Maintains addresses, invoices templates, and e-billing information within the 3E system . Submits invoices by mail, email, and to third party e-billing sites ... 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… more
- Axelon Services Corporation (Highland Beach, FL)
- …members, caregivers, or providers to obtain information regarding client status, support system , and need for services for care plan development * Monitor delivery ... appropriate discharge plan, care plan, and coordination of acute care and long term care services * Assist member with filing and resolving complaints and appeals more
- Ada S. McKinley Community Services, Inc. (Chicago, IL)
- …to the development and structures of electronic billing and remittance processing systems . * Conducts training on billing procedures and on the electronic health ... direct involvement as it relates to electronic claims processing, adjudication and appeals . * Prepare and present claim appeal documentation as part of revenue… 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 ... goals/monthly expectations across platformsManage positions and candidates in Applicant Tracking System (ATS). Ensure ATS is current and utilized to maximize… 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 ... provided.Evaluates payments received for correctness and applies payments accurately to the system . Verifies that payments received are correct according to the fee… more
- Compass Health Network (St. Peters, MO)
- …to meet specified team goal minimum* Develop creative advertising approach that appeals to the most qualified candidates utilizing cost-effective and efficient means ... expectations across platforms* Manage positions and candidates in Applicant Tracking System (ATS). Ensure ATS is current and utilized to maximize efficiencies*… more
- Creative Financial Staffing (New Rochelle, NY)
- …through cost date analysis Participating in the development and preparation of rate appeals , under direction of CFO. What we are looking for: Bachelor's degree, ... in accounting or finance Master's degree preferred Proficiency in general ledger systems and subsystems Advanced knowledge of Microsoft Excel. Strong knowledge of… more
- Trinity Health (Farmington Hills, MI)
- …Position (Pay Range: $39.8218-$59.7327) Applies clinical and comprehensive payer and appeals knowledge in reviewing all post-billed denials (inclusive of clinical ... of claim escalations. Responsible for leveraging clinical and broad payer and appeals knowledge, and standard procedures to track appeals through first,… more
- Generac Power Systems (Waukesha, WI)
- ** Appeals & Grievances Specialist I** **Company** Generac Power Systems **Name** Appeals & Grievances Specialist I **Req #** 64199 **Employment Type** Full ... be challenged and enjoy a fast-paced, high-performance culture. **Job Summary:** The Appeals and Grievances Specialist is a critical team player who is responsible… more
- ManpowerGroup (Durham, NC)
- **Title:** **Clinical Appeals Analyst** **Location: 4613 University Drive Durham NC 27707 United States (Onsite)** **Duration: 6+ months** **Pay rate: $41.75/hr (On ... W2)** **Job Description:** The Clinical Appeals Consultant is responsible for supporting the increased workload in the Claims Department, particularly due to an… more
- Martin's Point Health Care (Portland, ME)
- …Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational ... Place to Work" since 2015. Position Summary Job Description Position Summary: The Appeals Specialist (Medicare or US Family Health Plan) is responsible for ensuring… more
