Senior Clinical Billing Specialist is an area expert, works under general direction, and is responsible for research... and regulations to resolve issues. The Senior Clinical Billing Specialist will review reports and monitor the status of accounts...
Accounts Receivable Specialist We are partnering with one of the nation's top Orthotics & Prosthetics providers... to find an Accounts Receivable Specialist for their Branford office. The successful candidate will have strong experience in medical...
JOB TITLE: Billing Specialist COST CENTER: 000000 JOB CODE: 50343 FLSA Exemption Status: Non-Exempt Telecommuting Eligible..., Compliance, and Finance Departments with appeals process by providing necessary documentation. Tracks medical records requests...
to resolve member appeals and grievances through the following systems: LCI appeals, State Fair Hearing, Department of Health... to: assisting members with due process rights; coordinating and leading mediation, pre-hearing meetings and hearings; investigating...
Executive Office of Housing and Livable Communities (EOHLC) is seeking a Paralegal Specialist in the Office of the...: The Paralegal Specialist provides legal and administrative support to the Division of Hearings including the Senior Deputy...
of Pharmacy Analytics, functions as a Pharmacy Program Specialist in the Pharmacy Analytics department. Provides efficient... requests and medication appeals. Make outreach to members and providers as directed to improve medication adherence. Assist...
and regulations (Medicare Billing Specialist and State Fair Hearing/Advanced Billing Specialist only). · Knowledge of government... and non-government uniform billing guidelines (Medicare Billing Specialist and State Fair Hearing/Advanced Billing Specialist...
. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable... St. Luke’s Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission...
Overview: The Utilization Management Specialist demonstrates excellent customer service performance... HealthCare and the commitment to Extraordinary Care for Every Generation. The Utilization Management Specialist provides...
donor capabilities. Be knowledgeable and engaged with the direct response and mail appeals. Engage the mid-level donor.../vision/hearing, with low-cost employee premiums, co-pays, and deductibles Employer-funded pension plan (100% vested after...
donor capabilities. Be knowledgeable and engaged with the direct response and mail appeals. Engage the mid-level donor.../vision/hearing, with low-cost employee premiums, co-pays, and deductibles Employer-funded pension plan (100% vested after...
is taken. Provides customers with the option to appeal and submits appeals packet on a timely manner. Submits recoupment.... Subject to standing, sitting, bending, and walking to perform job scope. Requires visual acuity, speech, and hearing. Working...
Service (PBS) centers; including analysis of clinical documentation, assist in appeals as needed, root cause analysis.... Experience and knowledge of working on appeals for insurance denials and identifying root cause. Knowledge of Hospital...
Denials and Appeals pertinent information regarding denials of payment and/or levels of care. Documents actions taken... Speaking/talking Constantly Performed (67%-100%): Hearing Seeing/Visual Job Hazards Not Related: Chemical agents...
Business Service (PBS) centers; including analysis of clinical documentation, assist in appeals as needed, root cause analysis.... Experience and knowledge of working on appeals for insurance denials and identifying root cause. Knowledge of Hospital...
healthcare claim environment. (Includes health plan physician claims/ reimbursement/appeals experience). AHCCCS/ Medicare.... (Includes health plan physician claims/reimbursement/ appeals experience.) College level business courses helpful. Two years...
Must have experience with writing Medication Appeals Major Responsibilities: Oversees pharmaceutical care, including retrieving... Must have functional speech, vision, and hearing Operates all equipment necessary to perform the job Exposed to normal office...
field. Related field includes: land use and zoning, labor and employment, real estate, litigation and appeals..., administrative hearing, eminent domain, procurement/public finance, public records, and Sunshine Law. (A comparable amount...
specialist appointments, and ensure recommendations are implemented. Administrative and Compliance Duties: Assist in the... preparation of appeals for insurance denials for injury treatments and procedures. Complete insurance forms, FMLA forms...
for assisting with appeals and payment disputes /denials. The coder will review clinical documentation utilized in the decision... Coding Specialist (CCS) Certifications Candidate should obtain the additional certification within 12 months of employment...