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Medicare Appeals Specialist Jobs in Georgia

Appeals Specialist Jobs
By BlueCross BlueShield of South Carolina At Augusta, GA, United States
Excellent organizational, customer service, and written and verbal communication skills.
Proficiency in spelling, punctuation, and grammar skills.
Perform non-medical reviews and process redetermination letters ensuring timeliness and accuracy.
Prepare unit reports, analyze, and interpret workload, and process issues utilizing various software tools.
Update letters and documents within the department when necessary.
May gather and prepare documentation for legal inquiries and administrative requests.
Compliance Appeals Specialist, Cash App
By Cash App At Atlanta, GA, 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
Review & Appeals Specialist I
By National Commission on Certification of Physician Assistants (NCCPA) At Johns Creek, GA, United States
Your highly developed time management skills, systematic approach to organization/planning and keen attention to detail.
Maintain ongoing knowledge regarding NCCPA organizational policies, departmental policies, standard operating procedures, operational guidelines, business rules, reports and audit tools.
Your proven analytical approach and proactive problem-solving skills that identify and recommend solutions to the determined issues.
Your excellent written and verbal communications skills with a proficiency in diplomacy and confidentiality.
Your proven ability to manage competing priorities and accomplishing tasks within the agreed upon timeframe.
At least two years of professional experience in business, healthcare, appeals & grievances, state medical board or legal field.
Billing/Collection Specialist - Medicare
By Northside Hospital At Atlanta, GA, United States

2023-37541 Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more ...