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Minimum two years of related experience preferred, such as accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and cash application.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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This position has the responsibility of building patient accounts in the denials management system and performing timely follow-up with regard to clinical and medical necessity insurance appeals.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Responsible for submission and follow-up on appeals for nursing/attendant cases. Maintain up-to-date knowledge of pediatric nursing practices, advancements, and regulations, participating in professional development activities as required.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Review Level of Care for iCare members including follow-up consultation with Grievance and Appeals or Enrollment/Eligibility/Fiscal staff. Travel: up to 50%. Review Level of Care for iCare members including follow-up consultation with Grievance and Appeals or Enrollment/Eligibility/Fiscal staff.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Humana/iCare is seeking a Long Term Care Functional Screener to join the growing team in the Family Care Partnership (FCP) program. The Screener is responsible for screening members within the iCare Family Care Partnership service areas, as well as participate in all iCare and WI State LTCFS required compliance and quality assurance activities.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Possess thorough understanding of the hospital revenue cycle with specialization in hospital billing and/or physician billing, accounts receivable follow-up, and the account resolution process to include, but not limited to: claims submission, acceptance and adjudication, transaction reviews, adjustment posting, denials & appeals processes, identification of patient responsibility, etc.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Report member complaints to Appeals and Grievance team for investigation and follow-up, per protocol. Report member complaints to Appeals and Grievance team for investigation and follow-up, per protocol.
$87,135 - $105,435 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Skills:Payment posting, Collection, Medical collections, Medical, Payment poster, Data entry, Customer service, Medical billing, Call center, medicaid, Collection calls, Revenue cycle, outpatient, Outbound calls, Accounts receivable, Cash postings, Collections customer service, 50 wpm, Medical insurance, Insurance follow up, Icd-10, Medical terminologyExperience Level:Intermediate Level About TEKsystems: We're partners in transformation.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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This candidate will trend denials for root cause analysis reporting, follow and create value added processes related to denials management, account reviews, and appeals management, and insurance follow up to maximize revenue recovery and denial prevention.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Responsibilities:The A/R Collections Specialist (Remote) will be responsible for focusing A/R, collections, follow-up, appeals, and denials specifically working with Meditech. Experience with Meditech software (3 yrs+) Experience working claims, doing collections/follow-up using meditech system Experience with Billing and/or Revenue Integrity using Meditech Experience with Government and Commercial collections Proven experience clearing 40-60 accounts per day Customer Service oriented.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Collaborates with and provides support to team and management in appeals including, but not limited to, follow-up with providers for letters of medical necessity or retro-authorizations, team escalation of appeals requiring action or drafting letters to payors, follow-up with payors on denials, etc.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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If acting in the capacity as a clinical pharmacist the incumbent may also review UM requests; provide consultation into the case and disease management identification process, and consult with the Organization's Associate Medical Directors and Medical Directors when appropriate, follow-up on appeals in accordance with our regulatory guidelines.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Follow specific payer guidelines for appeals submisson Escalate exhausted appeal efforts for resolution Work payer projects as directed Research contract terms/interpretation and compile necessary supporting documentation for appeals, Terms & Conditions for Internet enabled Managed Care System (IMaCS) adjudication issues, and referral to refund unit on overpayments.
$17.2 - $25.7Full-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The incumbent develops and implements physician, pharmacy, account, and member educational initiatives that promote the Organization’s Formularies, utilization management programs, and case/ disease management initiatives; providing clinical review and decisions for physician and member appeals and participates on cross-functional committees to develop and implement clinical and operational initiatives.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Interprets lab and/or x-ray results Makes necessary follow-up calls, pre-authorization requests, peer-to-peer appeals, helps with patient assistance application, and coordinates with external medical entities.
Full-timeExpandApply NowActive JobUpdated 4 days ago
appeals follow up jobs
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