306 appeals specialist jobs at 222 companies in United States
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Appeals Specialist
Altoona, Wisconsin, United States
OnsiteFull Time
Group Health Cooperative of Eau Claire: Community-based health insurance plan providing managed healthcare services.
Manage provider and member appeals and grievances, research and resolve complex claims/enrollment issues, lead grievance committees, produce reports; proficiency with Microsoft Word and Excel.
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
2+ YOERequires a high school diploma or equivalent and at least two years of healthcare collections, appeals, or hospital experience, with critical thinking, attention to detail, and claims documentation skills.
MedReview: Provides clinical validation and payment integrity services for healthcare.
1+ YOEAssociate degree or equivalent experience; 1 year in healthcare claims, appeals, billing, or revenue cycle; claims adjudication knowledge; strong analysis, communication, organization, and Microsoft Office skills.
Microsoft Outlook, Microsoft Excel, Microsoft Word
Northwest Administrators: Administers employee benefit plans and processes insurance claims.
Bachelor's degree or equivalent experience; medical claims processing or appeals experience preferred; strong analytical, communication, and organizational skills; ability to interpret plan documents and make appeal decisions.
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
2+ YOE2+ years managed care or claims/appeals experience, knowledge of Medicaid/Medicare denials and appeals, strong written/verbal communication, Microsoft Office proficiency.
TMF Health Quality Institute: Provides healthcare quality improvement services to government and providers.
3+ YOEHigh school diploma, 3 years general office experience, 1 year Medicare Qualified Independent Contractor appeals or 1 year professional business writing in healthcare/customer service/legal, Medicare Part C appeals experience, U.S. residency 3 of last 5 years.
ROMTech: Develops medical devices and telemedicine platforms for at-home rehabilitation.
Experience in medical billing or revenue cycle management; knowledge of insurance guidelines and appeal processes; strong communication; able to work independently and manage priorities.
West Harrison or White Plains or Raleigh or Albany or Chicago or Pittsburgh
$30-$43/hrOnsiteFull Time
Jackson Lewis: Represents management in labor and employment legal matters.
2+ YOEBachelor's degree,2+ years legal billing/appeals experience,knowledge of Aderant and BillBlast a plus,strong Microsoft Excel/Word skills,organizational and communication skills.
Aderant, BillBlast, Microsoft Excel, Microsoft Word
Koya Medical: Developing wearable active compression systems for vascular health.
3+ YOEHigh school diploma and 3+ years of appeals and reimbursement experience required; healthcare reimbursement or medical device background, payer portals, Salesforce, and strong communication skills required.
Google Suite, Microsoft Office Suite, Adobe, Salesforce CRM, Salesforce
Independent Living Systems: Provides healthcare management and nutritional support for vulnerable populations.
2+ YOEBachelor's in health field,2 years clinical appeals or claims experience,EHR and claims software proficiency,medical terminology knowledge,excellent written/verbal communication;Spanish preferred.
3+ YOEHigh school diploma, 3 years general office experience, plus 1 year Medicare Part C appeals or professional business writing; knowledge of federal regulations, contract policy review, and strong written communication.
CognizantNASDAQ: CTSH: Provides IT consulting and technology services to global enterprises.
2+ YOEHigh school diploma or equivalent and 2+ years in healthcare claims, provider services, appeals, billing, or related operations; claims systems, Microsoft Office, healthcare compliance, and analytical skills required.
CognizantNasdaq: CTSH: Provides IT consulting and digital business process services.
2+ YOEHigh school diploma required; 2+ years in healthcare claims, provider services, appeals, billing, or related operations. Requires claims knowledge, analytical skills, communication, deadlines, and Microsoft Office proficiency.
CognizantNasdaq: CTSH: Provides global information technology and business process outsourcing services.
2+ YOEHigh school diploma or equivalent and 2+ years in healthcare claims, provider services, appeals, billing, or related operations. Requires claims systems, Microsoft Office, healthcare regulations, analytical, and communication skills.
Microsoft Office, ICD-10, CPT, HCPCS, HIPAA, CMS, SLA
Quadax: Provides revenue cycle management solutions for healthcare organizations.
4+ YOEHigh school diploma or GED, 4 years of health insurance billing experience, reimbursement proficiency, managed care knowledge, confidentiality, strong communication, organization, independence, and Microsoft Office skills.
Gibson Area Hospital & Health Services: Providing comprehensive medical care and community health services.
2+ YOEHigh school diploma, 2+ years medical billing/appeals experience, knowledge of CPT/ICD-10-CM/HCPCS, EMR/EHR and billing software experience, strong written communication and payer appeal knowledge.
Appeals Specialist – Medical Billing & Insurance Appeals
Doraville, Georgia, United States
$17-$20/hrOnsiteFull Time
NANA Healthcare Management: Operates behavioral health facilities and specialized medical billing services.
1+ YOEMinimum 1 year medical billing/denial management experience, high school diploma/GED, knowledge of CPT/ICD-10/HCPCS, EHR and billing software proficiency, strong written communication and analytical skills.
EHR, CollaborateMD, Kipu EMR, Availity, Microsoft Office, medical billing software
Ensemble Health Partners: Manages financial operations and technology for healthcare organizations.
5+ YOE5+ years inpatient coding experience; active coding certification (RHIA, RHIT, CCS, CIC, CPC, COC); high school diploma/GED; advanced knowledge of ICD10CM/PCS, HCPCS, NCCI, CMS, CMG; experience with appeals, denials, and edits.
UVA Health: Academic medical center providing patient care and medical research.
3+ YOEHigh school diploma (assoc preferred),3+ years relevant experience in revenue cycle/billing,attention to detail,ability to analyze and resolve non-routine problems,provide support and train lower-level staff.