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Appeals Specialist

Date: 2023-12-01 (Cached)

Job Description: Act as the intermediary between both internal and external customers and the Ads Integirty team to handle their daily queries and questions.

Company: TikTok
Hiring Organization: TikTok
Salary: TBD
Location: Austin, TX
Street Address: TBD

Locality: Austin, TX
Region: disclosed when applied
Postal code: disclosed when applied


Job Details




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Appeals Specialist

Date: 2023-12-01 (Cached)

Job Description: You will analyze and manage a caseload of appeals claims. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging…

Company: Lincoln Financial
Hiring Organization: Lincoln Financial
Salary: TBD
Location: Dover, NH
Street Address: TBD

Locality: Dover, NH
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Patient Accounts Specialist- Insurance (Appeals / Denials)

Date: 2023-12-01 (Cached)

Job Description: File appeals for denied claims and follow-up as necessary through appeal resolution. Manage claim details and verify accurate reimbursement, so as to initiate…

Company: Emerus
Hiring Organization: Emerus
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Temporary - Insurance Specialist II - Work from Home

Date: 2023-12-01 (Cached)

Job Description: Clearly prepares appeals for payment to insurance company when appropriate. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup…

Company: NAVIENT
Hiring Organization: NAVIENT
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Collection Specialist

Date: 2023-12-01 (Cached)

Job Description: Understands the rules, regulations, appeal process and timely filing regarding insurance billing coverage and collection process.

Company: SuperCare Health
Hiring Organization: SuperCare Health
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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Insurance Specialist II

Date: 2023-12-01 (Cached)

Job Description: Clearly prepares appeals for payment to insurance company when appropriate. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup…

Company: NAVIENT
Hiring Organization: NAVIENT
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



IDI Claims Specialist

Date: 2023-12-01 (Cached)

Job Description: Effectively manages an assigned caseload with limited supervision which consists of pending, ongoing and appeal reviews. Previous IDI experience a plus.

Company: MetLife
Hiring Organization: MetLife
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Intake Specialist- WFH AZ

Date: 2023-12-01 (Cached)

Job Description: The selected candidate will be part of a small team within the Grievance and Appeals Department who receive calls from members, family members, and providers…

Company: CVS Health
Hiring Organization: CVS Health
Salary: TBD
Location: Phoenix, AZ
Street Address: TBD

Locality: Phoenix, AZ
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Disaster Program Specialist (Las Vegas, NV)

Date: 2023-12-01 (Cached)

Job Description: This position will work 8:00am to 5:00pm Monday through Friday, and some weekends and evenings will be required during times of business need.

Company: American Red Cross
Hiring Organization: American Red Cross
Salary: TBD
Location: Las Vegas, NV
Street Address: TBD

Locality: Las Vegas, NV
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



People Experience Specialist

Date: 2023-12-01 (Cached)

Job Description: Draft and respond to unemployment claims including filing appeals. The People Experience Specialist will also assist the People Experience Partners and…

Company: National Debt Relief, LLC.
Hiring Organization: National Debt Relief, LLC.
Salary: TBD
Location: United States
Street Address: TBD

Locality: United States
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Registrar Services Specialist II (Online/Remote)

Date: 2023-12-01 (Cached)

Job Description: Additionally, the Specialist is responsible for responding to student appeal requests, investigating and delivering appropriate appeal outcomes, reviewing…

Company: American Public University System
Hiring Organization: American Public University System
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Grievance & Appeals Dispute Specialist

Date: 2023-12-01 (Cached)

Job Description: Prepare disputes for external review, reviewing the previous appeal files as applicable and compiling all applicable documents to create the dispute packet.

Company: CGC Group Inc.
Hiring Organization: CGC Group Inc.
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Program Specialist, Disaster Services

Date: 2023-12-01 (Cached)

Job Description: Provide functional support to Disaster Program Manager and Leadership at a regional level or take full cycle responsibility to provide service delivery programs…

Company: American Red Cross
Hiring Organization: American Red Cross
Salary: TBD
Location: Cape Girardeau, MO 63703
Street Address: TBD

Locality: Cape Girardeau, MO 63703
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Student Loan Specialist

Date: 2023-12-01 (Cached)

Job Description: If needed, assist with eCDR challenges and appeals. The specialist will counsel borrowers on available repayment options, forbearance and/or deferment options.

Company: Escoffier
Hiring Organization: Escoffier
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



APPEALS / SUBSTANTIATION SPECIALIST

Date: 2023-12-01 (Cached)

Job Description: This position is responsible for ensuring compliance with the state statutes and administrative rules and regulations, as well as internal policies and…

Company: State of Arizona
Hiring Organization: State of Arizona
Salary: TBD
Location: Phoenix, AZ 85007
Street Address: TBD

Locality: Phoenix, AZ 85007
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Development Specialist

Date: 2023-12-01 (Cached)

Job Description: The Development Specialist (DS) will work with the Grants & Investments Associate, VP of Investor Relations, and CEO to research, organize, report, and follow…

Company: Capital Good Fund
Hiring Organization: Capital Good Fund
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Patient Support Specialist

Date: 2023-12-01 (Cached)

Job Description: 3+ years reimbursement or sales experience with physician-administered injectables and/or medical devices, Category III CPT codes and/or miscellaneous J-codes,…

Company: Glaukos Corporation
Hiring Organization: Glaukos Corporation
Salary: TBD
Location: United States
Street Address: TBD

Locality: United States
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Collections Specialist

Date: 2023-12-01 (Cached)

Job Description: Prepares and submits appeal letters for underpaid accounts as directed, while analyzing payer contracts for payment accuracy. Up to 4 weeks paid vacation.

Company: Leafly
Hiring Organization: Leafly
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Appeals Professional

Date: 2023-12-01 (Cached)

Job Description: The review will consist of submitted appeals, case file documents to include clinical records, and Medicare B payment rules and regulations.

Company: TMF Health Quality Institute
Hiring Organization: TMF Health Quality Institute
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Appeals and Grievances Specialist I

Date: 2023-12-01 (Cached)

Job Description: Compile supporting documentation for appeal process. Communicate with members regarding status of appeals that have been submitted.

Company: Network Health
Hiring Organization: Network Health
Salary: TBD
Location: Menasha, WI 54952
Street Address: TBD

Locality: Menasha, WI 54952
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



CHILD SUPPORT SPECIALIST TRAINEE

Date: 2023-12-01 (Cached)

Job Description: Job Type: Salaried Full Time. This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to…

Company: State of Illinois
Hiring Organization: State of Illinois
Salary: TBD
Location: Springfield, IL 62701
Street Address: TBD

Locality: Springfield, IL 62701
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



AR Specialist - Remote

Date: 2023-12-01 (Cached)

Job Description: Facilitates and initiates appeals to insurance companies for higher payments and other appeals as needed. Includes but is not limited to: following up on claim…

Company: Inception Fertility Corporate Services
Hiring Organization: Inception Fertility Corporate Services
Salary: TBD
Location: Franklin, TN 37067
Street Address: TBD

Locality: Franklin, TN 37067
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Program Specialist, Disaster Services

Date: 2023-12-01 (Cached)

Job Description: Provide functional support to Disaster Program Manager and Leadership at a regional level or take full cycle responsibility to provide service delivery programs…

Company: American Red Cross
Hiring Organization: American Red Cross
Salary: TBD
Location: Michigan
Street Address: TBD

Locality: Michigan
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Utilization Review Specialist

Date: 2023-12-01 (Cached)

Job Description: Coordinating physicians’ reviews and appeals. We are seeking a *Utilization Review Specialist* to obtain appropriate insurance authorization for our patients to…

Company: Compass Health Center
Hiring Organization: Compass Health Center
Salary: TBD
Location: Maryland
Street Address: TBD

Locality: Maryland
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Refund Specialist

Date: 2023-12-01 (Cached)

Job Description: Knowledge of healthcare receivables and collections, including denial and appeal processes. Processes payor correspondence and refund requests through extensive…

Company: Northside Hospital Inc.
Hiring Organization: Northside Hospital Inc.
Salary: TBD
Location: Atlanta, GA 30319
Street Address: TBD

Locality: Atlanta, GA 30319
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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