JOB DESCRIPTION JOB SUMMARY The Claims Appeals Specialist is responsible for managing and processing appeals..., and claimants to gather necessary information and clarify details. Maintain detailed records of appeals and outcomes in the claims...
Job Category: Claims Technical Services Job Description: JOB SUMMARY The Claims Appeals Specialist is responsible... for managing and processing appeals related to insurance claims. This role involves reviewing denied claims, analyzing...
liability claims and workers' compensation cases Navigate insurance denials and appeals processes Ensure proper billing...Medical/Legal Outreach Specialist - Injury Care Team Join Our Mission to Transform Patient Care Company: Injury...
for the billing, payment posting, follow-up of unpaid claims, and appeals. Responsible for follow-up and claim denials... Center is on the lookout for a SUPR Billing Specialist to join our dynamic team. Above and Beyond Family Recovery Center...
of adverse underwriting decisions, rate appeals, underwriting requirements, status and declinations. Analyzes quality, quantity..., including Claims, Actuary, Risk Control, Product Development and Filing/Compliance as projects require. Skills, Knowledge...
education on navigating the appeals process as well as denied and partially paid claims. Takes lead in completing Business... acquisition, and benefit verifications, prior authorizations, claims assistance, and appeals. Payer/insurance coverage experience...