Appeals Specialist jobs

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Claims Denial & Appeals Specialist, FT; Mon.
Receives denied claims and researches appropriate appeal steps. Review and analyze claim denials in order to perform the appropriate appeals necessary for...
Appeals Claims Specialist
MedData - 106 reviews - Draper, UT
MedData has an excellent career opportunity available as a Claims Specialist - Appeals to work in an office setting located in Draper, UT....
Content Architect (Copywriter / Content Manager)
Westinghouse Outdoor Power - Columbus, OH
$36,000 - $55,000 a year
Understanding different language styles that appeal to various target markets. Our Marketing Team is currently at six in-house employees consisting of...
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Data Reporter/Visualization Specialist
Gannett - 511 reviews - Naples, FL
Data Reporter/Visualization Specialist. The data reporter/visualization specialist at The News-Press/Naples Daily News will excel at telling stories with data,...
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Grievance and Appeals Clinical Specialist

Neighborhood Health Plan of Rhode Island - 16 reviews - Smithfield, RI
Research, review and facilitate documentation of Medicare/Medicaid benefits, policies and procedures as it relates to the department’s grievance and appeals...

HIM Appeals Specialist

University of Louisville Physicians - 39 reviews - Louisville, KY
Log appeals correspondence into Appeals Tracking software. Works with payers on HIM-related appeal issues. Obtains all necessary information to expedite the...

Billing Specialist

DACCO - 38 reviews - Tampa, FL 33605 (East Ybor area)
$16 an hour
Come work for DACCO as the Billing Specialist in Business Services! As the Billing Specialist you will be responsible for Medicaid Managed Care, Medicaid, and...
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Appeals Specialist

INFINITY BEHAVIORAL HEALTH SERVICES - 12 reviews - Fort Lauderdale, FL 33312
INFINITY is now seeking Appeals Specialists to join our team. General knowledge of appeals processes. Writing appeals to prove medical necessity with clinical...
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Specialist, Appeals & Grievanc

Molina Healthcare - 804 reviews - Long Beach, CA
Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of NCQA guidelines for appeals and denials....

Appeals Specialist

Independence Blue Cross - 538 reviews - Philadelphia, PA
The Appeals Specialist thoroughly researches and investigates appeals (Triaging and/or Processing of Member Appeals)....

Appeals-Denial Specialist

St. Agnes Healthcare, MD - Halethorpe, MD
Appeals-Denial Specialist, provides health care services regarding admissions, case management, discharge planning and utilization review....

Appeals & Grievances Specialist

Tufts Health Plan - 189 reviews - Watertown, MA 02472
The Specialist is responsible for the accurate coordination, efficient administration and resolution of member appeals, provider appeals and member grievances...


Aultman Hospital - 111 reviews - Canton, OH
Responsible for working closely with the Grievance & Appeals Assistant and the Grievance & Appeals Specialist for all tracking and trending of appeals,...

Appeals Specialist

Lifespan - 142 reviews - Providence, RI 02903 (Downtown area)
The Appeals Specialist reports to the Manager of Clinical Appeals. Executes the appeal process by receiving, assessing, documenting, tracking, analyzing,...
Regional Quality Assurance Manager
Caregiver, Inc. - Lubbock, TX
Assists in writing formal appeals for DFPS investigations and DADS appeals or Fair Hearings, as needed; Supervises assigned Quality Assurance Specialists....
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Clinical Appeals Specialist
CLINICAL APPEALS SPECIALIST*. The Clinical Appeals Specialist (CAS) is responsible for managing certain claim denials by conducting comprehensive analytical...
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