Appeals Specialist jobs

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Grievance and Appeals Specialist
Minuteman Health, Inc. - Boston, MA 02111
Grievance and Appeals Specialist – Minuteman Health, Inc.*. Produce routine and adhoc reports on grievances, complaints and appeals from the grievance and...
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Medicare Collections Specialist
• Submit carrier appeals and reconsideration requests in a timely manner. • Work collaboratively with other Coding, Billing, Patient Access, and Cash Receipts...
Leasing Specialist (1831)
Guardian Management has an opportunity for a Part -Time Leasing Specialist to join our experienced and committed team at Oxbow 49 Apartments !...

Appeals Specialist

PAS - Nashville - Nashville, TN
The Appeals Specialist is responsible for performing end to end tasks for technical appeals. Triage incoming inventory for the Appeals team, validating appeal...

Appeals and Grievance Specialist

BMC Health Net - Charlestown, MA
Job Description The Appeals and Grievance Specialist is responsible for managing the resolution process of medical and pharmacy member appeals and/or member...

Appeals Specialist

Shared Services Center - Sarasota - Sarasota, FL
ESSENTIAL JOB FUNCTIONS: Manages workflow for C360 Commercial Claims & assists with RAC Claims when needed Maintains work queue in C360 daily to ensure

Eligibility Specialist - Hearings and Appeals (Lake RCC)

Conduent - 153 reviews - Crown Point, IN  +2 locations
Answers customer questions regarding appeals and appeals process. Assists clients with understanding their rights and responsibilities under the appeals process...

Utilization Review Appeals Specialist

McLaren Flint - 31 reviews - Flint, MI 48532
1 year of appeal experience with third party payors. Under the direction of the Utilization Management Manager, coordinates/handles the appeals process for...

Utilization Review Appeals Specialist

McLaren Macomb - 33 reviews - Mount Clemens, MI 48043
Appeals beyond the first level, requiring complex clinical review. Of clinical documentation and intensity of service application during the appeal process to...

Claims Denial & Appeals Specialist

Children's Hospital & Medical Center - Omaha - Omaha, NE
Receives denied claims and researches appropriate appeal steps. Review and analyze claim denials in order to perform the appropriate appeals necessary for...

Specialist, Appeals & Grievances

Molina Healthcare - 373 reviews - Columbus, OH
Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of NCQA guidelines for appeals and denials....

Position Classification Specialist

KnowledgeBank, Inc. - Ashburn, VA 20147
Managing classification appeals. Provide advice and assistance with classification appeal procedures, and assure that appeal packages comply with agency...
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Appeals Specialist

Shared Services - Houston - Houston, TX
The Appeals Specialist is responsible for performing end to end tasks for technical appeals. Triage incoming inventory for the Appeals team, validating appeal...
Grievance/Appeals Representative I-II - Tampa, FL - 127208
Anthem, Inc. - 1,991 reviews - Tampa, FL 33601
May make decision on administrative appeals where guidelines are well documented and involve limited discretion....
Appeals Specialist
CGI - 1,195 reviews - San Antonio, TX
• Minimum two years of experience in claims billing, processing, appeals, and/or adjudication. • Evaluate medical claims documentation and coverage policy...

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