- Internal Revenue Service (Fresno, CA)
- …Vacancies will be filled in the following specialty areas: Office of Appeals Case and Operations Support Account and Processing Support Special ... CAREERS? Visit us on the web at www.jobs.irs.gov Responsibilities WHAT IS THE APPEALS DIVISION? A description of the business units can be found at:… more
- Trinity Health (Farmington Hills, MI)
- …Interprets data, draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a technical resource and ... special projects as assigned, including but not limited to: High $ account reviews/ appeals Process Improvement activities (denial reduction or workflow… more
- Universal Health Services (Richmond, VA)
- …dynamic and talented Senior Appeals Specialist . The Senior Appeals Specialist is responsible for the resolution of all appeals relating to ... billing of claims and the follow-up on the clinical appeals performed by the facilities. Key Responsibilities include: +...+ Works with insurance companies to secure payment on account balances outstanding. + Properly documents the patient … more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as an Appeals Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... make a difference. We are looking for a dedicated Appeals Specialist like you to be a...**Parallon** provides full-service revenue cycle management, or total patient account resolution , for HCA Healthcare. Our services… more
- Universal Health Services (Richmond, VA)
- …seeking a dynamic and talented Appeals Specialist . The Appeals Specialist is responsible for the resolution of all appeals relating to technical ... billing of claims and the follow-up on the clinical appeals performed by the facilities. Key Responsibilities include: +...+ Works with insurance companies to secure payment on account balances outstanding + Properly documents the patient … more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
- Houston Methodist (Katy, TX)
- …a balance between maintaining trustful relationships and ensuring timely account resolution . Exhibits professionalism and trustworthiness **SERVICE ESSENTIAL ... the system notes. Provides balance detail to clearly identify account resolution and next responsible party or...CERTIFICATIONS - PREFERRED** + CRCS - Certified Revenue Cycle Specialist (AAHAM) **OR** + Certified Patient Account … more
- State of Colorado (Denver, CO)
- …State Personnel Board Rules and Personnel Director's Administrative Procedures , Chapter 8, Resolution of Appeals and Disputes , at spb.colorado.gov under Rules. ... Risk & Compliance Support Specialist (Program Asst. I): DORA/Division of Professions &...include Initial Decisions, Final Agency Orders, case dismissals and appeals as well as working with the Court of… more
- Baptist Memorial (Jackson, MS)
- …issues and concerns impeding the collection process and to ensure successful account resolution . * Complies with patient confidentiality policies for the ... Summary The Accounts Receivable Follow Up Specialist performs all collection and follow up activities...complete processing. * Performs required actions to resolve the account balance promptly by submitting appeals , correcting… more
- State of Colorado (Denver, CO)
- …State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules. A ... Social Services Rule Specialist III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4491962) Apply Social Services Rule Specialist III… more
- UNC Health Care (Goldsboro, NC)
- …providers and insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments, refunds or other ... towards resolution . 4. Coordinates with other teams/departments/payors to resolve account errors. 5. Posts adjustments and write offs as needed. 6. Leverages… more
- Motion Recruitment Partners (Durham, NC)
- …and quality assurance of benefit plan administration with internal stakeholders and PBM account team. + Resolves or coordinates the resolution of escalated ... Pharmacy Services Specialist Durham, NC **100% Remote** Contract $18/hr -...Staff and/or external partners as appropriate + Coordinates the resolution of pharmacy claim reconsiderations and appeals … more
- Guthrie (Towanda, PA)
- …Answers phone calls and correspondence providing requested information to aid in the resolution of account balances. 2. Maintains knowledge and performs within ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to… more
- TEKsystems (Waco, TX)
- …insurance coverage, patient registration, insurance billing, insurance follow up, appeals , medical record, claims resolution , denied claims, medicaid, ... a must. This position is highly focused on the resolution of insurance processing errors and denials. Payers include...increase cash flow Day to Day Duties: - Each specialist will be assigned an inventory to work. New… more
- Navient (HI)
- …to evaluate appropriate next steps to bring aged account receivables to resolution . The Insurance Specialist will be responsible to ensure cash recovery ... UNITED STATES. Xtend Healthcare is looking for an Insurance Specialist II who will be responsible for review and.... Clearly documents actions taken and next steps for account resolution in patient accounting system. .… more
- ManpowerGroup (Durham, NC)
- …and quality assurance of benefit plan administration with internal stakeholders and PBM account team. + Resolves or coordinates the resolution of escalated ... **Title: Pharmacy Service Specialist ** **Location: Remote (Candidate from EST Time Zone...Staff and/or external partners as appropriate + Coordinates the resolution of pharmacy claim reconsiderations and appeals … more
- Universal Health Services (Richmond, VA)
- …as required. Document in patient account notes as indicated. Work with Appeals staff for resolution on denied accounts. + Responsible for routing ... United Kingdom. Atlantic Region CBO (uhs.com) (https://jobs.uhs.com/atlantic-region-cbo) The Reimbusement Specialist /Analyst is responsible for the resolution of… more
- Robert Half Accountemps (Scranton, PA)
- … account inquiries, and working closely with team members on claim appeals , denials, resolution , and education. Responsibilities: * Prepare and submit clean ... Description We are seeking a Medical Biller/Collections Specialist to join our team in Scranton, Pennsylvania....billing issues * Collaborate with team members on claim appeals , denials, resolution , and education * Monitor… more
- Beth Israel Lahey Health (Burlington, MA)
- … or corrections and obtains and submits information necessary to ensure account resolution /payment 7. Evaluates delinquent third party accounts and processes ... Billing Office. 16. Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals ...the resolution of complex claims issues, denials, appeals and credits. 17. Works with cash team to… more
- Beth Israel Lahey Health (Charlestown, MA)
- … or corrections and obtains and submits information necessary to ensure account resolution /payment 7) Evaluates delinquent third party accounts and processes ... Billing Office. 16) Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals ...the resolution of complex claims issues, denials, appeals and credits. 17) Works with cash team to… more