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Appeals Specialist Jobs in Illinois

Compliance Appeals Specialist, Cash App
By Cash App At Chicago, IL, United States
Stay abreast of regulatory updates and/or new requirements and understand overall impact to day to day work
3+ years experience in BSA/AML or Fraud related work, preferably in the payments space
Strong investigative skills, including familiarity with public record research and database tools
Demonstrated transaction analysis skills that apply across numerous financial products in complex scenarios
Proven working experience as a Compliance Specialist
4+ years relevant experience in BSA/AML and Sanctions related work
Rn Specialist-Denials And Appeals
By Ascension At , Batavia, 60510, Il
May educate case management staff and other departments regarding payer changes and denial/appeal process.
Use clinical and coding knowledge to ensure accurate and compliant charge items and to recognize and resolve billing inconsistencies.
Collaborate with managed care department to code billable items for reimbursement.
Licensure / Certification / Registration:
Hospital: Alexian Brothers Health System
Establishe and maintain positive and cooperative relationships with medical staff and care coordination leaders to ensure ongoing compliance with utilization review guidelines.

Are you looking for a job that will give you the opportunity to make a difference in people's lives? Become an Appeals Specialist and help ensure that individuals and families receive the benefits they need and deserve!

Overview An Appeals Specialist is responsible for providing administrative support to the appeals process. They are responsible for researching and analyzing appeals, preparing and submitting appeals, and providing support to the appeals process. Detailed Job Description An Appeals Specialist is responsible for providing administrative support to the appeals process. This includes researching and analyzing appeals, preparing and submitting appeals, and providing support to the appeals process. The Appeals Specialist is also responsible for ensuring that all appeals are handled in a timely and accurate manner. They must also ensure that all appeals are properly documented and that all necessary information is provided to the appeals committee. Job Skills Required
• Excellent research and analytical skills
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Ability to manage multiple tasks and prioritize workload
• Knowledge of legal and regulatory requirements
• Knowledge of medical terminology
• Proficiency in Microsoft Office Suite
Job Qualifications
• Bachelor’s degree in a related field
• At least two years of experience in a related field
• Knowledge of medical terminology
• Knowledge of legal and regulatory requirements
• Ability to work independently and as part of a team
Job Knowledge
• Knowledge of medical terminology
• Knowledge of legal and regulatory requirements
• Knowledge of appeals process
• Knowledge of medical coding
Job Experience
• At least two years of experience in a related field
• Experience in medical coding
• Experience in appeals process
Job Responsibilities
• Research and analyze appeals
• Prepare and submit appeals
• Provide support to the appeals process
• Ensure that all appeals are handled in a timely and accurate manner
• Ensure that all appeals are properly documented
• Provide necessary information to the appeals committee
• Monitor appeals process and provide updates as needed
• Maintain records of appeals process