Jr Appeal Specialist

ResponsibilitiesTriage incoming inventory for the Appeals team, validating appeal criteria is metCompose technical denial arguments for reconsideration, including both written and telephonicallyIdentify contract protection that can be leveraged to overturn denials.Overcome objections that prevent payment of the claim and gain commitment for payment through...

Job Summary:You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services. This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.As an appeals underpayment collector for one of the leading...

Company Description**Responsibilities: - Investigate and problem solve for patients experiencing escalated issues such as disadvantaged or complex access, savings card/copay card challenges or non-preferred formulary issues. Where necessary, complete a benefit investigation, contact the HCP and/or patient or potentially the filling pharmacy or payor. Quickly...

Descripción de la empresa Publicis Groupe, fundada en 1926, es el tercer grupo de comunicaciones más grande del mundo. Conocido por su creatividad de renombre mundial, la mejor tecnología, experiencia digital y consultoría, Publicis Groupe es el único en la industria capaz de acompañar mejor a sus clientes en su viaje de transformación de negocios...

Job Summary:The Jr Health Care Specialist will review post-discharge, prebill accounts that do not have authorization on file, ALOS versus days authorized variances, and/or other account discrepancies identified that will result in the account being denied by the payor that does not require a clinical review. Communicates with third-party payors to resolve...

Ever feel exhausted by red tape? Us too. That's why we're revamping how we work for increased productivity, quicker innovation, and superior outcomes. We like to call it Dynamic Shared Ownership (DSO). Discover more about how DSO can impact your new position below.TASKS AND RESPONSIBILITIESCarry out HR Manage Employee Inquiry Process by offering services...

Become an Outcoder as a Junior Data Entry Specialist The Data Entry Specialist is position is responsible for data entry tasks including but not limited to the transfer of inspection data from Reliable Reports’ proprietary systems to client systems, entry of replacement cost data into Duties and Responsibilities: - Enter, update and verify data in...

Become an Outcoder as a Junior Data Entry SpecialistThe Data Entry Specialist plays a key role in handling data entry tasks, such as transferring inspection data from systems owned by Reliable Reports to client systems, inputting replacement cost data into third-party software, and performing other clerical duties as needed.Duties and Responsibilities:Enter,...

Become an Outcoder as a Junior Data Entry Specialist The Data Entry Specialist is responsible for data entry tasks, including but not limited to the transfer of inspection data from Reliable Reports’ proprietary systems to client systems, entry of replacement cost data into third-party software applications, and other clerical functions as required. ...

Become an Outcoder as a Junior Data Entry Specialist The Data Entry Specialist is responsible for data entry tasks, including but not limited to the transfer of inspection data from Reliable Reports’ proprietary systems to client systems, entry of replacement cost data into third-party software applications, and other clerical functions as required. ...

**Become an Outcoder as a Junior Data Entry Specialist** Duties and Responsibilities: - Enter, update, and verify data in various proprietary and client systems - Maintain satisfactory quality and productivity - Maintain effective oral and written communication with Business Unit Specialist Education, Skills, and Experience: - High School Diploma or GED...

Become an Outcoder as a Junior Data Entry SpecialistDuties and Responsibilities: Enter, update, and verify data in various proprietary and client systems Maintain satisfactory quality and productivity Maintain effective oral and written communication with Business Unit SpecialistEducation, Skills, and Experience: High School Diploma or GED or one year of...

Become an Outcoder as a Junior Data Entry Specialist The Data Entry Specialist is position is responsible for data entry tasks including but not limited to the transfer of inspection data from Reliable Reports' proprietary systems to client systems, entry of replacement cost data into Duties and Responsibilities: - Enter, update and verify data in various...

**Job Number** 23013245 **Job Category** Rooms & Guest Services Operations **Location** AC Hotel San Jose Escazu, Avenida Escazu, Escazu, San Jose, Costa Rica **Schedule** Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Non-Management *** Our jobs aren’t just about giving guests a smooth check-in and check-out. Instead, we...

Estabilidad financiera, laboral y crecimiento, muy buen ambiente de trabajo, tenemos más de 20 años de experiência en la industria de TI con presencia en todo Centro América y el Caribe, buscamos ingeniero de soporte técnico con experiência en redes apoyo en implementación, administración, cambio e instalación de equipos en sitio para San José,...

Job Overview Job Responsibilities - Processes regular payroll information on a biweekly basis. - Performs biweekly overtime audits - Keeps informed and updated in the payroll processing system and changes in wage/tax laws, and applies changes as appropriate - Respond to employee inquiries regarding payroll issues or concerns - Maintain and document all...

**Your duties will include**: - **Review held sales orders throughout the day to determine eligibility for release/shipping within company credit guidelines.**: - **Manage account communications using a cloud-based collection management system.**: - **Run various weekly and monthly reports and archive monthly bank statements.**: - **Create and maintain...