- HCA Healthcare (Brentwood, TN)
- …a work environment where diversity and inclusion thrive? Submit your application for our Appeals Specialist opening with Parallon today and find out what it ... truly means to be a part of the HCA Healthcare team. **Benefits** Parallon, offers a total rewards package...benefits may vary by location._** We are seeking a Appeals Specialist for our team to ensure… more
- HCA Healthcare (Largo, FL)
- …you want to join an organization that invests in you as an Appeals Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...make a difference. We are looking for a dedicated Appeals Specialist like you to be a… more
- Molina Healthcare (NM)
- …+ Responsible for the comprehensive research and resolution of the appeals , dispute, grievances, and/or complaints from Molina members, providers and related ... ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes.… more
- Universal Health Services (Richmond, VA)
- …Rico and the United Kingdom. The Atlantic Region CBO is seeking a dynamic and talented Appeals Specialist . The Appeals Specialist is responsible for the ... and oral communication skills are required + Familiarity with appeals and 1-3 years healthcare business office...+ Familiarity with appeals and 1-3 years healthcare business office experience preferred This opportunity provides the… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist ...Experience Required: At least 4 years experience in auditing Appeals & Grievances in a healthcare environment… more
- Abbott (Plano, TX)
- …Our 114,000 colleagues serve people in more than 160 countries. **Sr. Appeals Specialist , Patient Therapy Access Team** **Position Location: 6600 Pinecrest ... Abbott is a global healthcare leader that helps people live more fully...**Plano, TX** currently has an opportunity for a **Sr. Appeals Specialist ** . This role is responsible… more
- Universal Health Services (Bonham, TX)
- …day. TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing all insurance denials and prepare ... payers in compliance with Managed Care contracts and government fee schedules. The Appeals Specialist will obtain, manipulate, and analyze data from a variety… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Training Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los ... net required to achieve that purpose. Job Summary The Customer Solutions Center Appeals and Grievances (A&G) Training Specialist II is primarily responsible for… more
- Trinity Health (Farmington Hills, MI)
- …as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves ... knowledge of state/federal laws as they relate to contracts and the appeals process. Investigates and addresses overpayment and underpayment accounts with the… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... Coordinates and executes the appeal process for all AHS facilities clinical appeals and third party audits. **DUTIES & ESSENTIAL JOB FUNCTIONS:** NOTE: The… more
- Trinity Health (Farmington Hills, MI)
- …Maintains knowledge of state/federal laws as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues ... as to ensure timely follow-up and action for account appeals . + Works with Patient Access and other necessary...Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation… more
- Medical Mutual of Ohio (OH)
- …of education/training and experience. . 7 years progressive experience as an Appeals /Customer Resolution Specialist or equivalent experience in customer service ... Supervises operations and staff responding to written/verbal grievances, complaints, and appeals submitted by commercial or government health plan members and… more
- Hartford HealthCare (Farmington, CT)
- …this is *your moment.* **Job:** **Finance / Patient Accounts* **Organization:** **Hartford HealthCare Corp.* **Title:** *Collections Specialist / PA Third Party ... where every moment matters. Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in...revenue cycle performance. The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances… more
- Sharp HealthCare (San Diego, CA)
- …information necessary for activities related to Medical Groups' Quality and Appeals processes. + Demonstrates knowledge of department policies and procedures ... level of care in IDX per Medical Group guidelines. Collaborates with Medical Group Appeals on members with SNF services under appeals process.Reviews SNF claims… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding-specific clinical charges and denial ... management and appeals process in a collaborative environment with revenue cycle...metrics are reported appropriately including specific current procedural terminology (CPT)/ healthcare common procedure coding system (HCPCS), denial reasons, and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The **Appeal Nurse ... Specialist ** will be responsible for the timely review and submission of appeals for denied managed care inpatient and/or outpatient claims to insurance companies… more
- HCA Healthcare (Brentwood, TN)
- …you want to join an organization that invests in you as a Denial Coding Review Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...We are looking for a dedicated Denial Coding Review Specialist like you to be a part of our… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a full time Healthcare Compliance Specialist - Organizational Integrity. This remote role requires the incumbent to reside ... AK or TX by date of hire. **Job Summary** Supports the Manager, Healthcare Compliance in developing, implementing, and maintaining the Healthcare Compliance… more
- State of Colorado (Denver, CO)
- Behavioral Health Training Specialist - Work Lead (Hybrid) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4500364) Apply Behavioral Health ... Training Specialist - Work Lead (Hybrid) Salary $68,100.00 - $88,536.00...designated agencies, law enforcement and first responder agencies, hospitals, healthcare providers, licensed clinicians, and other regulatory bodies such… more
- Hartford HealthCare (Hartford, CT)
- …this is your *moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Medical Group Specialists* **Title:** *Prior Authorizations Specialist ... where *every moment* matters. Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in...Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to obtain insurance… more