Appeals jobs

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Appeals Representative
UnitedHealth Group 2,362 reviews - Oldsmar, FL
SM The role of an Appeals Coordinator is to serve as a trusted resource in providing problem resolution and support for our Medicare members regarding their...
DRG Facility Appeals Representative
UnitedHealth Group 2,362 reviews - Tampa, FL
An Undergraduate degree or higherKnowledge of Medicaid/Medicare Reimbursement methodologiesExperience with appeals strongly preferredPhysical Requirements and...
Clinical Appeals Reviewer - US Telecommute
UnitedHealth Group 2,362 reviews - Tampa, FL
Experience with Appeals and Grievances. Analyzes and identifies trends for appeals and grievances. Positions in this function are responsible for providing...

Medicare Quality and STARs Executive

Florida Blue 154 reviews - Miami, FL  +5 locations
Monitors data from member experience inputs, clinical activities and administrative sources such as appeals, grievances, CTMs that provide insight into overall...

Marketing & Communications Assistant

Foodbank of Southeastern Virginia - Norfolk, VA 23504
$27,000 - $32,000 a year
Coordinate all aspects of the direct mail and digital marketing programs including but not limited to, the relationship with the consultants and vendors,...
Easily apply

Reimbursement Specialist

Medical Revenue Experts - Mesa, AZ
$35,000 a year
Resubmit corrected claims to payors for reprocessing- utilize formal appeal process when necessary. Contact payors regarding outstanding balances....
Easily apply

Billing Coordinator-Remote

Vaksman Dental Group - Remote
Investigate unpaid claims, follow up and appeal claims until they are paid. We are looking for an experienced Billing Coordinator to work from their home office...
Easily apply


MemorialCare Medical Foundation 3 reviews - Los Angeles, CA
Uses Phynance to track appeals and recoveries. The Appeals Analyst is responsible for monitoring contractual allowances, analyzing and pursuing appeal...

Medicare Grievances & Appeals Coordinator

Aetna 601 reviews - Houston, TX
Refers coverage determinations, appeals, and inquiries to the appropriate departments and follows-up to ensure resolution....

Appeals Specialist

Laser Spine Institute 50 reviews - Tampa, FL
Manages insurance claims and appeals the insurance denials. The Appeals Specialist is responsible for researching, disputing and appealing both paid and denied...

Appeals Coordinator

McBee Associates, Inc. - New York, NY
Appeals, appeal, denials, denial, billing, biller, claims, revenue cycle. Determination of appeals time frames....

Veterans Service Representative

Department of Veterans Affairs 1,200 reviews - Wichita, KS
•Rotate through the Cross-Functional, Intake Processing Center, Direct Contact, Appeals, and Quality Review teams to gain experience in all aspects of the...

Contracting & Reimbursement Specialist

PruittHealth - Norcross, GA
Responds to provider inquiries, concerns, complaints, appeals and grievances. PruittHealth Care Management, has an excellent opportunity for a Contracting and...
Clinical Appeals Reviewer - Atlanta, GA, Philadelphia, PA an...
UnitedHealth Group 2,362 reviews - San Francisco, CA
Basic appeal rights, Appeals status, General process, Basic complaints, Urgent appeals. Analyze and identify trends for Appeals and Grievances....
Clinical Appeals Reviewer - Multiple Locations
UnitedHealth Group 2,362 reviews - San Francisco, CA
Familiar with Business/Industry concepts and terminology as pertains to appeals and grievancesProvide Consulting/Education on Caller Issues/Trends as pertains...

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Company with Appeals jobs
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier