Appeals Specialist jobs

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Appeals Specialist
Medical Transportation Management (MTM) - Lake Saint Louis, MO
POSITION SUMMARY: The Appeal Specialist is responsible for identifying fraudulent data patterns. The Appeal Specialist will also be responsible for data...
Sponsored by Medical Transportation Management (MTM) - 26 days ago
Appeals and Grievance Specialist
BMC HealthNet Plan and Well Sense - Boston, MA
Job Description The Appeals and Grievance Specialist is... & Responsibilities: Appeals Responsibilities: Coordinates management of member appeals across multiple...
Sponsored by Boston Medical Center HealthNet Plan - 10 days ago

Grievance and Appeals Specialist

Humana 597 reviews - Doral, FL
Humana is seeking a Grievance and Appeals Specialist to address and resolve non-routine customer and partner concerns directly, with regulators and with...
3 days ago - save job - block - email - more...

Appeals Specialist

Cigna 626 reviews - Nashville, TN
Prepares formal hearing briefs and/or appears at hearings as a representative of the organization. Coordinates data collection and review of compliance...
2 days ago - save job - block - email - more...

Grievance & Appeals Specialist

Catholic Health Initiatives 85 reviews - Federal Way, WA
Must possess strong problem-solving skills, project management and negotiation skills and have the ability to multi-task in an effective and organized manner....
3 days ago - save job - block - email - more...

Appeals Specialist

MAXIMUS 395 reviews - Honolulu, HI
Bachelor’s degree from an accredited college or university, or related years experience. Three years of experience preferably in health, social service or...
9 days ago - save job - block - email - more...

Utilization Specialist

Pinnacle Treatment Centers - Mayfield, KY
Minimum 2 years experience working in substance abuse/mental health field. Knowledge and background with managed care and insurance helpful....
4 days ago - save job - block - email - more...

DENIAL/APPEALS SPECIALIST

Presbyterian Healthcare Services 34 reviews - Albuquerque, NM
High school degree or GED required, short-term training on insurance collections and claims processing. One year of similar medical facility, physician's office...
15 days ago - save job - block - email - more...

Appeals and Grievance Specialist

BMC HealthNet Plan and Well Sense - Boston, MA
Ability to work in both team and independent settings at all levels of the organization. Good customer service skills essential....
Boston Medical Center HealthNet Plan - 10 days ago - save job - block - email - more...

Appeals Specialist

McKesson 672 reviews - Overland Park, KS
Knowledge of medical coding (ICD-9, CPT, etc). Completes preliminary investigation of the denied claims, checking for coding accuracy and gathering medical...
14 days ago - save job - block - email - more...

Staff Fellow

Agency for Healthcare Research and Quality 2 reviews - Rockville, MD
Applicants are also advised that all information concerning qualifications is subject to investigation.... $75,621 - $116,901 a year
usajobs.gov - 7 hours ago - save job - block - email - more...

Appeals Specialist

Reed Group 79 reviews - Westminster, CO
A.A. Proficiency using Microsoft products, Access database or similar software. Minimum of 3 years experience in claims investigation, insurance claims...
9 days ago - save job - block - email - more...
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