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Appeal Specialist Jobs

Denial/Appeal Management Rn - Part Time: Remote
By University Hospitals At , Cleveland, Oh
Hospital Case Management Certification preferred.
3+ years of experience in managed care or utilization review preferred.
3+ years of experience in managed care or utilization review is strongly preferred.
Improved communication, awareness and adherence to regulatory requirements associated with utilization
Minimum 3 years clinical experience in acute care setting required.
Must have sound clinical knowledge base of the population to be served.
Clinical Appeal Writer - Remote | Wfh
By Get It Recruit - Healthcare At Boston, MA, United States

We have an exciting opportunity for a Clinical Appeal Writer to join our dynamic team! As a Clinical Appeal Writer, you will play a crucial role in resolving and processing clinical appeals and ...

Remote / Work-From-Home - Medical Billing - Commercial Appeal Specialist ($20.00 / Hour)
By Talentify.io At United States
Knowledge and experience of computers and related technology
Review Explanation of Benefits, denial letters and payor correspondence to classify type of appeal required.
Document the details, requirements, and deadlines of each individual appeal in billing software.
Use reports to manage daily workflow and ensure accounts are processed within required timeframes.
Minimum of one (1) year of advanced medical billing experience
Professional written and verbal communication skills
Remote / Work-From-Home - Medical Billing - Commercial Appeal Specialist
By Air Evac Lifeteam At West Plains, MO, United States
Knowledge and experience of computers and related technology
Review Explanation of Benefits, denial letters and payor correspondence to classify type of appeal required.
Document the details, requirements, and deadlines of each individual appeal in billing software.
Use reports to manage daily workflow and ensure accounts are processed within required timeframes.
Minimum of one (1) year of advanced medical billing experience
Professional written and verbal communication skills
Appeal Specialist Jobs
By Devoted Health At , Remote $24 - $28 an hour
Interacts with Managers, Medical Directors, Case Management, Precertification, Legal, Member Services and other areas in facilitating identification and resolution of appeals
Completes data entry and documentation requirements in multiple systems; including correct input of audit universe fields
Maintains a current knowledge of CMS guidelines and regulations
Manages the receipt, investigation, and resolution of appeals in a timely, compliant, and highly effective manner
Corresponds with the member as required (i.e., written acknowledgement and closure letters and telephone contact and documentation as appropriate)
Bachelor’s degree or equivalent experience in health care, conflict resolution, or related field; 3- 5 years Medicare experience required