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Full-Time Appeal Specialist jobs

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APPEALS SPECIALIST

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

CompanyParallon
AddressLargo, FL
CategoryHuman Resources
Job typeFull-time • Work From Home
Date Posted 2 weeks ago See detail

Appeals Specialist

Parallon

Largo, FL

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

2 weeks ago seen See more...

Appeals Specialist

County Of San Bernardino

California, United States

A valid California Class C driver license and proof of automobile liability insurance must be produced and maintained for the individual providing the transportation.Sponsorship: Please note San Bernardino County is not able to co...

4 weeks ago seen See more...

Appeals and Denials Specialist

Sanford Health

Sioux Falls, SD

margin-top-16 { margin-top: 0; display: none;}Careers With Purpose Facility: Cherapa Place Building Location: Sioux Falls, SD Address: 300 N Cherapa Pl, Sioux Falls, SD 57103, USA Shift: 8 Hours - Day Shifts Job Schedule: Full tim...

2 weeks ago seen See more...

Appeals Specialist - Palmetto GBA

Bluecross Blueshield Of South Carolina

Columbia, SC

$34.6K - $43.9K a year

Perform non-medical reviews and process redetermination letters ensuring timeliness and accuracy. Prepare unit reports, analyze and interpret workload, and process issues utilizing various software tools. Update letters and docume...

a month ago seen See more...

Appeals Specialist - Medicare Part B (Nashville, TN) - CGS

Bluecross Blueshield Of South Carolina

Nashville, TN

$39.6K - $50.1K a year

Position is onsite in our Nashville, TN office. Work hours during training: 7:30 am to 4:00 pm CT Monday through Friday Work hours following training: You can start your eight-hour shift between the hours of 5:00 am and 9:00 am CT...

2 months ago seen See more...

Appeals Specialist

Unified Group Services Inc

Anderson, IN

$29.2K - $36.9K a year

Research internal/external appeal (benefit determination, Usual and customary reduction, discount dispute, eligibility). Work with internal review vendors on internal appeals and independent review organizations (IRO) on external...

2 months ago seen See more...

Sr. DME Billing Code Compliance &Appeals Specialist $1000 Signing

Vq Orthocare

Vista, CA

Determine medical necessity requirements for all federally funded business, including supplies. Train internal staff (ISR) and field reps on medical necessity. Oversee medical necessity chart review for all federally funded orders...

2 months ago seen See more...

RC Denial & Appeal Specialist Remote

Nch Healthcare System

Naples, FL

$16.80 - $19.49 an hour

DEPARTMENT: 68221 - Business Office NCHHGLOCATION: 1100 Immokalee Road, Naples, FL, 34110WORK TYPE: Full TimeWORK SCHEDULE: 8 Hour Day$16.80-19.49hrABOUT NCHNCH is an independent, locally governed non-profit delivering premier com...

2 months ago seen See more...

Appeals & Grievances Specialist I - Onsite

Generac Power Systems

Waukesha, WI

Handles escalated calls/cases when a call is deemed beyond the scope of responsibility of the Customer Support Team or requires in-depth investigation, coordination and follow-up with the customer and/or their service provider. Wo...

2 weeks ago seen See more...

Specialist, DRG Denials and Appeals

Nyu Langone Health

United States

Analyzes adverse determinations and potential DRG Re-assignments from various Third Party Payors. Reviews denied cases by using pre-established criteria, and determines whether or not an appeal is warranted. Formulates responses t...

a month ago seen See more...

Medical Claims Specialist/ Appeals

Innova Pain Center

Pearland, TX

$17 - $19 an hour

Billing and Coding Claims for inpatient and outpatient services. Work Aging Claims appeals and follow up. Data Entry. Medical Records request for processing of claims. Scanning EOB's and ERA's. Returning patient billing phone call...

a month ago seen See more...

Appeal and Denial Specialist - Sioux Falls, SD

Sanford Health

Sioux Falls, SD

$18 - $29 an hour

00Salary Range: $18.00 - $29.00Department DetailsPossible work from home option after trainingJob SummaryIntake and coordinate appeals and Denials, and then make determinations based on member policy documents, and/or medical crit...

a month ago seen See more...

Grievance and Appeals Nurse Specialist

Partnership Healthplan Of California

Eureka, CA

Assesses all cases to determine if members have any emergent or immediatemedical needs. Identifies potential quality of care, fraud, waste, and abuse issues.Takes appropriate actions. Executes independent clinical judgement in ass...

2 months ago seen See more...

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What are the top cities open Full-Time Appeal Specialist jobs?

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What companies are hiring for Full-Time Appeal Specialist jobs?

The top companies hiring now for Full-Time Appeal Specialist jobs are BCforward, CareFirst BlueCross BlueShield, CGS Administrators, LLC, ConnectiCare, County of San Bernardino, County of San Bernardino, CA, Fidelis Care, HCA Healthcare, Health Support Center, LifePoint Health, Parallon,

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