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"appeals resolution specialist" in "None"

Coding Payment Resolution Specialist PBS-K-Remote

Holy Cross Hospital None Florida United States
(No Timezone Provided)

JOB DESCRIPTION Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE=Work Remote Position Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and cod...

Medical Claims Specialist - Configuration Analyst (Remote)

Morgan Stephens Long Beach California United States
(No Timezone Provided)

Please note that remote positions require that you live within 25 miles of the job site.About us:Morgan Stephens represents the nation’s top healthcare systems offering the highest compensation and benefits to our top candidates.   We are created and managed by experienced industry professionals in ...

Accounts Receivable Specialist - Physician Billing (Remote Work possible after 6 months training!)

St. Luke’s Sacred Heart Campus Allentown Pennsylvania United States
(No Timezone Provided)

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care f...

Appeals Nurse - Remote Available

Fidelis Care None Michigan United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Insurance Specialist II - REMOTE (Work From Home)

Navient Solutions Wilmington Delaware United States
(No Timezone Provided)

***Xtend offers competitive benefits including Medical/Dental/Vision, Generous Paid Time Off/Paid Holidays/Monthly Bonus Eligibility/Tuition Reimbursement/401k plan plus Employer Match/Professional Development*** Xtend Healthcare, a Navient company, is nationally recognized as the industry-leading...

Insurance Specialist II - REMOTE (Work from Home)

Navient Solutions Wilmington Delaware United States
(No Timezone Provided)

***Xtend offers competitive benefits including Medical/Dental/Vision, Generous Paid Time Off/Paid Holidays/Monthly Bonus Eligibility/Tuition Reimbursement/401k plan plus Employer Match/Professional Development*** Xtend Healthcare, a Navient company, is nationally recognized as the industry-leading...

Grievance & Appeals Nurse (CA) - Remote Available

Envolve Pharmacy Solutions None null United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Complaints and Grievances Coordinator I (Remote)

Home Nursing Agency Greensburg Pennsylvania United States
(No Timezone Provided)

Description UPMC Health Plan is hiring a full-time Complaints and Grievances Coordinator I to help support the Complaints and Grievances Department (Provider Appeals service line). This is a Monday through Friday daylight position. The team is based out of downtown Pittsburgh's US Steel Tower...

Coding Payment Resolution Specialist PBS-K-Remote

Trinity-Health Grand Rapids Michigan United States
(No Timezone Provided)

Employment Type:Full timeShift:Day ShiftDescription:POSITION PURPOSEResponsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and coding judgment within the Hospital and/or Medical Group revenue operatio...

Coding Payment Resolution Specialist PBS-K-Remote

Trinity Health Grand Rapids Michigan United States
(No Timezone Provided)

Employment Type:Full timeShift:Day ShiftDescription:POSITION PURPOSEResponsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and coding judgment within the Hospital and/or Medical Group revenue operatio...

Physician Coding Appeals Specialist - REMOTE

Aurora Health Care Houston Texas United States
(No Timezone Provided)

Consistent and timely processing of coding rejection/denial appeals and customer concerns related to coding, including monitoring for patterns and trends, and ensuring appropriate reimbursement within regulatory requirements. Communicates trends, results and barriers to the leadership team. Identi...

Arbitration and Mediation Specialist (Remote)

Oscar Health Tempe Arizona United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring an Arbitration and Mediation Specialist to join our Complaints Grievances & Appeals.  Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind o...

Medical Billing or Accounts Receivable Specialist - Remote GNV

NSN Revenue Resources Gainesville Florida United States
(No Timezone Provided)

Job Type Full-timeDescriptionDo you have 2+ years of ASC revenue cycle experience OR orthopedic billing & collections experience? Are you looking for an incredible opportunity to work in an environment where we have more fun than we probably should?Open Positions: A/R Specialist, Medical Biller, Med...

Medical Billing or Accounts Receivable Specialist - Remote HOU

NSN Revenue Resources Houston Texas United States
(No Timezone Provided)

Job Type Full-timeDescriptionDo you have 2+ years of ASC revenue cycle experience OR orthopedic billing & collections experience? Are you looking for an incredible opportunity to work in an environment where we have more fun than we probably should?Open Positions: A/R Specialist, Medical Biller, Med...

Medical Billing or Accounts Receivable Specialist - Remote NASH

NSN Revenue Resources Nashville Tennessee United States
(No Timezone Provided)

Job Type Full-timeDescriptionDo you have 2+ years of ASC revenue cycle experience OR orthopedic billing & collections experience? Are you looking for an incredible opportunity to work in an environment where we have more fun than we probably should?Open Positions: A/R Specialist, Medical Biller, Med...

Medical Billing or Accounts Receivable Specialist - Remote ORL

NSN Revenue Resources Orlando Florida United States
(No Timezone Provided)

Job Type Full-timeDescriptionDo you have 2+ years of ASC revenue cycle experience OR orthopedic billing & collections experience? Are you looking for an incredible opportunity to work in an environment where we have more fun than we probably should?Open Positions: A/R Specialist, Medical Biller, Med...

Medical Billing or Accounts Receivable Specialist - Remote SAT

NSN Revenue Resources San Antonio Texas United States
(No Timezone Provided)

Job Type Full-timeDescriptionDo you have 2+ years of ASC revenue cycle experience OR orthopedic billing & collections experience? Are you looking for an incredible opportunity to work in an environment where we have more fun than we probably should?Open Positions: A/R Specialist, Medical Biller, Med...

Medical Billing or Accounts Receivable Specialist - Remote DFW

NSN Revenue Resources Dallas Texas United States
(No Timezone Provided)

Job Type Full-timeDescriptionDo you have 2+ years of ASC revenue cycle experience OR orthopedic billing & collections experience? Are you looking for an incredible opportunity to work in an environment where we have more fun than we probably should?Open Positions: A/R Specialist, Medical Biller, Med...

Medical Billing or Accounts Receivable Specialist - Remote FTM

NSN Revenue Resources Fort Myers Florida United States
(No Timezone Provided)

Job Type Full-timeDescriptionDo you have 2+ years of ASC revenue cycle experience OR orthopedic billing & collections experience? Are you looking for an incredible opportunity to work in an environment where we have more fun than we probably should?Open Positions: A/R Specialist, Medical Biller, Med...

Complaints Grievances Appeals Liaison Medicare Advantage (Remote)

Oscar Health Tempe Arizona United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring a Complaints Grievances and Appeals (CGA) Liaison to join our Clinical team in our Tempe office.  Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, t...

Accounts Receivable Specialist - Physician Billing (Remote Work possible after 6 months training!)

St. Lukes Hospital Allentown Pennsylvania United States
(No Timezone Provided)

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for ...

Associate Attorney - Remote

Aspirion Las Vegas Nevada United States
(No Timezone Provided)

Aspirion provides consulting and revenue cycle management services to hospitals nationwide. It is our mission to be a hospital’s trusted partner to obtain appropriate reimbursement on complex insurance claims. Aspirion achieves its goals by acting as the clinical and legal extension of a hospital’s ...

Associate Attorney - Remote

Aspirion None null United States
(No Timezone Provided)

Aspirion provides consulting and revenue cycle management services to hospitals nationwide. It is our mission to be a hospital’s trusted partner to obtain appropriate reimbursement on complex insurance claims. Aspirion achieves its goals by acting as the clinical and legal extension of a hospita...

Associate Attorney - Remote

Aspirion Boston Massachusetts United States
(No Timezone Provided)

Aspirion provides consulting and revenue cycle management services to hospitals nationwide. It is our mission to be a hospital’s trusted partner to obtain appropriate reimbursement on complex insurance claims. Aspirion achieves its goals by acting as the clinical and legal extension of a hospital’s ...

Billing/Follow-up Specialist - Government Billing (Remote)

Peacehealth Vancouver Washington United States
(No Timezone Provided)

Description Must be fully vaccinated for COVID-19 including 2 doses of a 2-dose series or 1 dose of a 1-dose series plus 14 days beyond the final dose prior to start date.PeaceHealth is seeking a Billing/Follow-up Specialist - Government Billing for a Full Time, Day position. Hourly compensation sta...

Billing/Follow-up Specialist - Commercial Follow-Up (Remote)

Peacehealth Vancouver Washington United States
(No Timezone Provided)

Description Must be fully vaccinated for COVID-19 including 2 doses of a 2-dose series or 1 dose of a 1-dose series plus 14 days beyond the final dose prior to start date.PeaceHealth is seeking a Billing/Follow-up Specialist - Commercial Billing for a Full Time, Day position. Hourly compensation sta...

Payment Resolution Specialist-I (Hospital Denials & Appeals/Variance) - PFS (Remote)

Trinity Health Corporation Farmington Michigan United States
(No Timezone Provided)

Employment Type:Full time. Shift:Description:POSITION PURPOSE - Work Remote Position(Pay Range: $18.4663-$27.6994)Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations ($3-5 B NPR) for an assigned Patient Business Services (PBS) location. The ...

Billing/Follow-up Specialist - Government Billing (Remote)

PeaceHealth Vancouver Washington United States
(No Timezone Provided)

Description Must be fully vaccinated for COVID-19 including 2 doses of a 2-dose series or 1 dose of a 1-dose series plus 14 days beyond the final dose prior to start date.?PeaceHealth is seeking a Billing/Follow-up Specialist - Government Billing for a Full Time, Day position. Hourly compensation st...

Appeals Collector WFH

Parallon El Paso Texas United States
(No Timezone Provided)

Description SHIFT: Work From HomeSCHEDULE: Full-timeSign-On Bonus* Schedule: Monday - Friday 8am - 4:30pm Eastern Time Are you looking for a work environment where diversity and inclusion thrive? Submit your application with HCA Healthcare today and find out what it truly means to be a part of a...

Patient Accounts Rep/Work from Home/Ohio - Miamisburg - PFS -Full Time Days

Kettering Health Miamisburg Ohio United States
(No Timezone Provided)

Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action ever...

Back Office Administrator- Work from Home

Confidential West Midlands West Midlands United Kingdom
(No Timezone Provided)

We are looking for customer service advisors to join our back office team in answering queries and questions from the general public. You will be providing specialist advice via email, letter or webchat. Depending on previous experience, you could be dealing with anything from simple enquiries to mo...

Customer Issue Resolution Specialist (Remote)

Veriant Solutions, LLC Phoenix Arizona United States
(No Timezone Provided)

Customer Issue Resolution Specialist (Remote) Category: Operations Support Job Type: Contract to hire Are you a successful Customer Service Specialist or Customer Service Representative looking for an opportunity to increase your compensation and grow your career? Are you a in...

Appeals Representative - Cypress, CA or WFH

UnitedHealth Group Cypress California United States
(No Timezone Provided)

This role is temporarily remote. Training is conducted virtually from your home. This role is an onsite role and you will transition once training is completed to work in the office in the future. If you are located at Chico, CA, you will have the flexibility to telecommute* (work from home) as you ...

Appeals Representative - Cypress, CA or WFH

UnitedHealth Group Chico California United States
(No Timezone Provided)

This role is temporarily remote. Training is conducted virtually from your home. This role is an onsite role and you will transition once training is completed to work in the office in the future. If you are located at Chico, CA, you will have the flexibility to telecommute* (work from home) as you ...

Customer Service Specialist I (Remote) - Dallas

Baylor Scott & White Health Dallas Texas United States
(No Timezone Provided)

The Customer Service Specialist performs as a business analyst in a complex business office and analyzing and resolving advances customer issues. The Customer Service Specialist requires instilling confidence and trust and demonstrating operational excellence when communicating to the public. The Cu...

Remote Revenue Cycle Specialist- A/R

NSN Revenue Resources Memphis Tennessee United States
(No Timezone Provided)

Job Type Full-time Description We are seeking an experienced and detail-oriented Accounts Receivable Specialist to join our central billing office team for ambulatory surgery centers. The successful candidate will play a crucial role in resolving outstanding surgical claims resulting in maximum reim...

Customer Retention Specialist - $600 Signing Bonus - - Remote work opportunities are available.

LOCALiQ Glendale Arizona United States
(No Timezone Provided)

Customer Retention Specialist - $600 Signing Bonus  - Remote work opportunities are available. The Gannett CSC has immediate openings for the  Customer Retention Specialist  position. The Customer Retention Specialist – CSC Phoenix – reports to Phoenix CSC Customer Service Supervisor. The Rete...

Support Delivery Specialist - Remote

NRT LLC Madison New Jersey United States
(No Timezone Provided)

Support Delivery Specialist The Support Delivery Specialist will be responsible for incorporating proficiency and excellence to the customer support service delivery experience thereby building trust and credibility with each franchise brand. The candidate will work collaboratively across interna...

Outreach Marketing Sales Specialist -Work At Home

Harry & David Austin Texas United States
(No Timezone Provided)

Requirements High School education or equivalent required. Good listening, written and verbal communication skills Exceptional sales ability related to outbound sales; must be able to effectively motivate customers to purchase products and/or services. PC literate with knowledge on Intern...

Outreach Marketing Sales Specialist -Work At Home

Harry & David Mobile Alabama United States
(No Timezone Provided)

Requirements High School education or equivalent required. Good listening, written and verbal communication skills Exceptional sales ability related to outbound sales; must be able to effectively motivate customers to purchase products and/or services. PC literate with knowledge on Intern...

Remote HR Specialist

Insight Global Chicago Illinois United States
(No Timezone Provided)

Job Description Kemper Corporate Services is seeking to hire an experienced, Temporary HR Specialist to work at our Kemper office. The HR Specialist will process various HR transactions related to the areas of benefits, HR Systems and Payroll. You will work with the HR Services team to provide...

Complaints Grievances Appeals Liaison Medicare Advantage (Remote)

Oscar Technology Tempe Arizona United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring a Complaints Grievances and Appeals (CGA) Liaison to join our Clinical team in our Tempe office. Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simpl...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare Washington District of Columbia United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare None California United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare None Georgia United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare None Nebraska United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Coding Operations Supervisor (OPS/Specialty/Edits) Remote

Spectrum Health Grand Rapids Michigan United States
(No Timezone Provided)

CURRENT SPECTRUM HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Spectrum Health team members only.Job DescriptionRemote work for this position may be approved based on policy and business considerations.Job SummaryReports to th...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare None Rhode Island United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare Maine Maine United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Behavioral Health, Quality Assurance - Telecommute in Colorado - 2019351

UnitedHealth Group Grand Junction Colorado United States
(No Timezone Provided)

If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm) Doing the right thing is a way of life at Rocky M...