Appeals Specialist

Job DescriptionThe Appeals Specialist is responsible for performing end-to-end tasks for technical appeals. This involves triaging incoming inventory, validating appeal criteria, and composing technical denial arguments for reconsideration.The ideal candidate will have excellent communication skills, both written and verbal, and be able to work effectively...

**Job Overview:**The Clinical Appeals Specialist plays a crucial role in handling complex appeals that require clinical input and interpretation. This position is responsible for composing compelling appeal letters to send to payers, ensuring thorough medical summaries are presented within each appeal.Main Responsibilities:Compose clinical appeal letters...

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 non-clinical collector for one of the leading...

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...

**About Auxis and the Role:**Auxis is seeking a skilled Clinical Appeals Specialist to join their team. As a key member of the organization, this individual will be responsible for handling appeals requiring clinical input or interpretation.Key Responsibilities:Compose appeal letters to payers using various sources of informationPresentation of clear and...

Job Summary:The Healthcare Specialist will review post discharge, prebill accounts that do not have an 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 do not require a clinical review.Communicates with third party payors to resolve...

Key ResponsibilitiesThe Appeals Specialist will be responsible for the following key responsibilities:Triage incoming inventory and validate appeal criteria.Compose technical denial arguments for reconsideration.Identify contract protection that can be leveraged to overturn denials.Overcome objections that prevent payment of the claim and gain commitment for...

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 collector for one of the leading healthcare...

**Job Summary**You will be working for a leading business process outsourcing provider to support one of its largest accounts, a prominent healthcare services company. This organization serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.The Senior Appeals Discrepancy Collector is responsible for researching and...

Job OverviewCrg Solutions is a dynamic company seeking a highly skilled Collections Specialist to join our team. As a key member of our finance department, you will play a crucial role in managing our claims and ensuring timely payments.Key ResponsibilitiesRespond to incoming calls regarding collection attemptsDraft appeals and reconsiderations to insurance...

**BlueForce, Inc. **is seeking for **Rule of Law Specialist Advisors** to provide services in support of upcoming task orders located in Central America and other Western Hemisphere countries such as** San Jose, Costa Rica**.**General Duties and Responsibilities**:- Areas of expertise to be considered: anti-financial crimes, anti-corruption, appeals,...

Bachelor's Degree. Technical (Computers & Internet) savvy is required - proficiency with using Excel for data analysis and PowerPoint for presentation development. Strong prioritization and time management skills, with a high degree of flexibility. Demonstrates effective communication, composure, and professional attitude. Exemplary performance record,...

2+ years of programmatic advertising experience - Experience analyzing data and best practices to assess performance drivers - Bachelor's degree or equivalent work experience - 1+ years of professional experience - 1+ years of experience in digital media or marketing - 1+ years working in digital, online or advertising like environment Search and Rescue...

2+ years of programmatic advertising experience- Experience analyzing data and best practices to assess performance drivers- Bachelor's degree or equivalent work experience- 1+ years of professional experience- 1+ years of experience in digital media or marketing- 1+ years working in digital, online or advertising like environment- Intermediate written and...

A self-starter with high level of Customer Obsession, Ownership and Deep Dive (Must) - Experience with the Amazon Writing mechanisms such as writing SOPs/Process Documentations, Narratives, COEs etc. - Proven exceptional operational, managerial, analytical and interpersonal skills - Proven experience communicating and influencing across job levels with both...