- UpvoteDownvoteShare Job
- Suggest Revision
Kosher Food Option Available | Medical Insurance | Paid Holidays | Paid Vacation | Parental Leave | Sick Days. Serve as production manager for mail and electronic appeals, social media fundraising, newsletters, and donor correspondence.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Reports directly to the JHH VP of Care Coordination/Utilization Management and indirectly to the JHBMC Senior Director of Care Management and is responsible for the coordination, management and success of The Johns Hopkins Hospital and The Johns Hopkins Bayview Medical Center Utilization Management programs.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Support multiple program areas across TennCare, including the Office of Program Integrity, the Chief Medical Office, Managed Care Ops, and TennCare appeals units. TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Utilize the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Provide medical leadership for all utilization management, pharmacy, case management, disease management, cost containment, and medical quality improvement activities.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Your benefits for this role will include paid time off; dental, medical, and vision coverage; profit sharing; disability and life insurance; a cafeteria plan; a 401(k) plus match; and paid jury duty leave.
ExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
ExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
For insurance specific clients: 1+ year medical provider experience working with UB04, appeals & denials. + Medical, Rx, Dental & Vision Insurance. Appeals & Denials.
$37,800 - $56,700 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Utilizes clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided by other healthcare professionals in compliance with client specific policies, nationally recognized evidence-based guidelines, and standards of care.
ExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Two to three years of experience working in health insurance industry with focus on medical provider contracting, relations, and/or medical provider billing and coding. Wages are one component of Wellfleet’s total compensation and benefits package, which includes medical, vision and dental insurance options, life and accident insurance, 401(k), and short-term and long-term disability insurance.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The area is home to two medical schools, one veterinary school, two nursing schools, two law schools—including Western Michigan University and Michigan State University—a Big Ten Conference university (Michigan State), the Michigan State Capitol, the state Supreme Court, the Court of Appeals, a federal court, the Library of Michigan and Historical Center, and headquarters of four national insurance companies.
ExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Competitive Compensation and Benefits : Enjoy an attractive benefits package, firm-sponsored professional development for associates, regular firm-wide Attorney-Retreat, CLE allowances, licensing expense reimbursement, competitive annual bonus opportunities, medical/vision/dental/disability/life insurance, 401(k) and profit sharing, parental leave, and firm provided devices including a cell phone, and more.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
1+ year’s medical provider experience working with UB04, appeals & denials. Insurance Patient Account Representative - Hospital A/R Emphasis. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Provides medical leadership for utilization management activities and medical review activities pertaining to utilization review, quality assurance, medical review of complex, and controversial or experimental medical services such as transplants utilizing the services of consultants Performs case reviews and appeals for all health plans.
RemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Medical Billing / Collection Specialist is responsible for assisting patients by communicating with insurance payors via various methods (i.e. telephone, fax, internet) to determine eligible benefits and acquiring Pre-Certification(s) when deemed necessary by the insurance payor.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
0-2 years medical provider experience working with UB04, appeals & denials. Making outbound calls to Insurance Companies to resolve claim denials and account balances. Performing Non-Clinical Appeals.
ExpandApply NowActive JobUpdated Today
medical insurance appeals jobs
FEATURED BLOG POSTS
How to Fire an Employee
So… you've finally decided to let one of your employees go. Drafting the paperwork and corresponding with HR is the easy part, but knowing how to fire an employee is where things get complicated. In fact, it is one of the most challenging conversations to have in the workplace. However, it must be done, and it must be done with poise and tact. Not only should you keep your state law in mind, but you should also consider your former employee's wellbeing.
How Long Does it Take to Hear Back from a Job?
Are you applying for your very first job? Maybe you’re anticipating your termination from your current role and want to be proactive. Either way, waiting to hear back on your job application can be stressful. If time has passed since you applied, you may wonder how long does it take to hear back from a job. Well, the answer is... it depends.
How to Respond to a Recruiter Through Email? (Tips & Examples)
Rather than wading through an endless list of open roles, wouldn’t it be nice if relevant job opportunities come to you?
How to Reject a Candidate Professionally
When deciding on how to reject a candidate, your first question may be
How Does Salary Pay Work? (Compared to Hourly Pay)
At the bottom of each job advertisement, companies label a role as salaried or hourly. Both methods will get you paid (yay), but each in very different ways. So, it's essential to figure out how does salary pay work? While employees paid by the hour are paid based on how long they work, employers pay salaried employees a fixed amount.
The Quiet Quitting Phenomenon
The term, quiet quitting, was coined in 2009, but only now is it gaining traction as young Millennials and Gen Z workers are experiencing record levels of burnout. With the pandemic and the state of the economy, young employees are feeling the pressure. So, quiet quitting comes into effect when that pressure is exasperated by work stress and no managerial support.
How Does Salary Range Work (With Examples)
What are your salary expectations? Do you know? Establishing a salary that compensates you fairly and keeps you happy at work can feel like taking a shot in the dark. And employers sure don’t make learning budgets easy!