Healthcare Appeals Specialist

Job Title: Healthcare Appeals SpecialistAbout the Role:Experian is seeking a skilled Healthcare Appeals Specialist to join our team. In this role, you will be responsible for monitoring contractual allowances, analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance.Key Responsibilities:Implement a process for...

About the RoleWe are seeking a skilled Healthcare Appeals Specialist to join our team at Experian. In this role, you will be responsible for monitoring contractual allowances, analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance.Key ResponsibilitiesImplement processes for identifying under-allowed claims...

Job Description The Healthcare Appeals Analyst plays a pivotal role at Experian in ensuring accurate reimbursement for healthcare professionals. As a key member of our team, you will be responsible for identifying under-allowed claims, analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance. Essential...

Appeals Claims SpecialistJob DescriptionExperian seeks a skilled Appeals Claims Specialist to join our team. As a strategic partner for our healthcare clients, this role will focus on analyzing and pursuing appeal opportunities with payers and networks, ensuring timely reimbursement and maximizing revenue.Key Responsibilities:Implements process for...

About the RoleWe are seeking an Appeals Specialist to join our team at Auxis, a fast-growing business process outsourcing provider. As an appeals collector for a leading healthcare services provider, you will monitor the claims process to ensure timely reimbursement to the provider, keeping medical expenses fair to patients.Responsibilities:Pursue additional...

About Us: At Experian, our mission is to simplify healthcare for all by leveraging data-driven insights. We strive to create a diverse and inclusive work environment where collaboration, innovation, and accountability thrive.Job Summary: As a Healthcare Reimbursement Specialist, you will play a critical role in monitoring contractual allowances, analyzing...

Company Overview: People Working Corp is a leading consulting and outsourcing firm specializing in customer services.Job Description:We are seeking an Appeals Resolution Specialist to join our team in Heredia, Costa Rica. As an Appeals Resolution Specialist, you will be responsible for pursuing additional payment on open appeals through various means of...

About AuxisAuxis is a dynamic company that prioritizes employee growth and development, empowering you to advance your career. Our culture fosters collaboration towards common goals, with a focus on continuous improvement.We offer a comprehensive benefits package, including health insurance, vision, dental, transportation subsidy, Asociacion Solidarista,...

Auxis is seeking a highly skilled Healthcare Specialist to join our team in resolving pre-bill insurance claims.Job SummaryThis role involves reviewing pre-bill accounts for discrepancies, communicating with payors to resolve issues, and accurately documenting communications and actions taken. The ideal candidate will have excellent communication skills, be...

Job Summary:The Clinical Review 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. The role will communicate with third-party...

Auxis is a fast-growing business process outsourcing provider supporting one of its largest accounts, a leading healthcare services provider serving 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.As an appeals underpayment collector, you will ensure timely reimbursement to the provider by monitoring the claims...

At People Working Corp, we are seeking a skilled Customer Service Representative - Appeals Resolution to join our team. This role is crucial in performing follow-up on all appeals submitted to the payer for timely payment and resolution. The ideal candidate will have excellent communication skills, a genuine interest in working with and helping customers,...

Auxis is a fast-growing business process outsourcing provider seeking a highly skilled Healthcare Claims Resolution Specialist to support one of our largest accounts and leading provider of healthcare services.This esteemed organization serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually, making it a critical...

Job SummaryWe are seeking a Claims Resolution Specialist to join our team in Costa Rica. This is a permanent home-based role, and we require candidates to be highly motivated and results-driven.About ExperianExperian is a leading global information services company that helps businesses and consumers make informed decisions. We pride ourselves on creating a...

About the RoleWe are seeking a skilled Senior Healthcare Reimbursement Specialist to join our team at Auxis. As a key member of our operations team, you will play a vital role in ensuring timely reimbursement to our clients and leading provider of healthcare services.This is a dynamic position that requires strong analytical and communication skills, as well...

Job SummaryWe are seeking a skilled Claims Reimbursement Specialist to join our team in Costa Rica. This permanent home-based role requires strong analytical and communication skills, as well as experience working with managed care claims and appeals.Key ResponsibilitiesIdentify and pursue appeal opportunities with payers and networksAnalyze EOBs for...

Job Role OverviewAt Experian, we are seeking a skilled Healthcare Technical Solutions Specialist to join our team. As a key member of our organization, you will provide technical support services for end users or partners of Experian Healthcare (EHC) solutions. Your primary responsibility will be to offer support services for our Bad Plan Code Detection...

Auxis is seeking a skilled Collective Payments Specialist to pursue additional payment on open appeals through various communication means, including telephonic, online, or via payment package processes with payers and patients. Key responsibilities include overcoming objections, gaining payment commitment, escalating accounts, and communicating trends to...

Job Title: Technical Support Specialist for Healthcare SolutionsJob Summary: We are seeking a skilled Technical Support Specialist to provide technical support services for end users or partners of Experian Healthcare (EHC) solutions. The successful candidate will develop an understanding of health insurance eligibility in the USA and the data returned...

Job Summary:The Data Analyst - Healthcare Discrepancy Specialist is responsible for supporting all activities related to government logging and discrepancy analysis function which includes verifying the accuracy of calculated discounts and analyzing discrepancies to determine root cause and resolution steps.Key Responsibilities:Monitor and resolve unpaid...