The Hospital Insurance Denials & Appeals Specialist is responsible for reviewing, analyzing, and resolving denied or underpaid insurance claims. This role ensures appropriate reimbursement by ...
The Hospital Insurance Denials & Appeals Specialist is responsible for reviewing, analyzing, and resolving denied or underpaid insurance claims. This role ensures appropriate reimbursement by ...
Appeals Clerk
Milwaukee, WI · On-site
Appeals Clerk Duration: 3+ months contract Location: Milwaukee, Wisconsin 53224 Shift: 8:00AM to 5 ... Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
Appeals Clerk
Milwaukee, WI · On-site
Appeals Clerk Duration: 3+ months contract Location: Milwaukee, Wisconsin 53224 Shift: 8:00AM to 5 ... Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
Appeals Coordinator
Delray Beach, FL · On-site
$20.50 - $25.50/hr
... and insurance entities with operational, clinical, and administrative expertise. The company ... Role Description The Appeals Coordinator is a part-time hybrid role based in Delray Beach, FL, with ...
Appeals Coordinator
Delray Beach, FL · On-site
$20.50 - $25.50/hr
... and insurance entities with operational, clinical, and administrative expertise. The company ... Role Description The Appeals Coordinator is a part-time hybrid role based in Delray Beach, FL, with ...
Appeals Assistant
Rancho Cucamonga, CA · On-site
$20 - $30/hr
The Appeals Assistant: Responsible for ensuring professional handling of all provider appeals in a ... Valid driverâ€'s license and auto insurance. FUNCTIONS AND RESPONSIBILITIES: 1. Under the ...
Appeals Assistant
Rancho Cucamonga, CA · On-site
$20 - $30/hr
The Appeals Assistant: Responsible for ensuring professional handling of all provider appeals in a ... Valid driverâ€'s license and auto insurance. FUNCTIONS AND RESPONSIBILITIES: 1. Under the ...
APPEALS SPECIALIST
Brentwood, TN · On-site
This position is responsible for monitoring insurance denials by running relevant reports and documenting appeal results in MS4 and MIDAS, ensuring proper notification to providers and members. The ...
APPEALS SPECIALIST
Brentwood, TN · On-site
This position is responsible for monitoring insurance denials by running relevant reports and documenting appeal results in MS4 and MIDAS, ensuring proper notification to providers and members. The ...
Otolaryngology Physician
Lafayette, LA · On-site
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
Otolaryngology Physician
Lafayette, LA · On-site
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
Appeals Analyst
Springfield, MA · On-site
$52K - $58K/yr
Analyze and respond to appeals and Department of Insurance complaints in accordance with policy ... language, applicable regulatory requirements, and required state and federal timeframes. * Prepare ...
Appeals Analyst
Springfield, MA · On-site
$52K - $58K/yr
Analyze and respond to appeals and Department of Insurance complaints in accordance with policy ... language, applicable regulatory requirements, and required state and federal timeframes. * Prepare ...
The Hospital Insurance Denials & Appeals Specialist is responsible for reviewing, analyzing, and resolving denied or underpaid insurance claims. This role ensures appropriate reimbursement by ...
The Hospital Insurance Denials & Appeals Specialist is responsible for reviewing, analyzing, and resolving denied or underpaid insurance claims. This role ensures appropriate reimbursement by ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
High School Diploma or equivalency Experience * 4 years' experience in medical billing, setting with exposure to denials, appeals, insurance collections and related follow-up. * Must have good ...
High School Diploma or equivalency Experience * 4 years' experience in medical billing, setting with exposure to denials, appeals, insurance collections and related follow-up. * Must have good ...
Creation and submission of appeals * Communicate with insurance companies, as needed * Query provider in a timely manner, as needed * Interpret and apply compliance guidelines to maintain billing ...
Creation and submission of appeals * Communicate with insurance companies, as needed * Query provider in a timely manner, as needed * Interpret and apply compliance guidelines to maintain billing ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
Orthopedics Physician
Harper, TX · On-site
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
Orthopedics Physician
Harper, TX · On-site
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer ...
Clinical Appeals Specialist
Miami, FL · On-site
The Clinical Appeals Specialist plays an essential role managing and resolving clinical appeals related to insurance claims and member care. The Clinical Appeals Specialist ensures that appeals are ...
Clinical Appeals Specialist
Miami, FL · On-site
The Clinical Appeals Specialist plays an essential role managing and resolving clinical appeals related to insurance claims and member care. The Clinical Appeals Specialist ensures that appeals are ...
Insurance Appeals information
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$30.5K - $38.2K
5% of jobs
$38.2K - $46K
5% of jobs
$46K - $53.7K
7% of jobs
$53.7K - $61.4K
4% of jobs
$66.7K is the 25th percentile. Wages below this are outliers.
$61.4K - $69.1K
4% of jobs
$69.1K - $76.9K
2% of jobs
$76.9K - $84.6K
1% of jobs
$84.6K - $92.3K
0% of jobs
The median wage is $94.6K / yr.
$92.3K - $100K
68% of jobs
$100K - $107.8K
0% of jobs
$107.8K - $115.5K
2% of jobs
$30.5K
$86.5K
$115.5K
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BUSINESS OFFICE - INSURANCE DENIAL/APPEALS SPECIALIST
Idaho Falls, ID • On-site
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 8 days ago
Mountain View Hospital (Idaho Falls) rating
5.5
Based on 60 frontline employees who took The Breakroom Quiz
944th of 1,065 rated hospitals
Job description
JOB SUMMARY: The Hospital Insurance Denials & Appeals Specialist is responsible for reviewing, analyzing, and resolving denied or underpaid insurance claims. This role ensures appropriate reimbursement by identifying root causes of denials, preparing and submitting appeals, and working collaboratively with internal teams and insurance payers. Strong analytical skills, knowledge of healthcare billing regulations, and persistence are essential for success in this position.
BENEFITS:
Taking care for our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include:
- Medical, Dental and Vision Insurance
- Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
- Retirement Plans (401K with up to 6% match)
- Earned Quarterly Bonus Program
- Education Reimbursement Program
- Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital
Please note benefits are based on eligibility according to full-time, part-time or PRN status classification.
About Mountain View:
Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley - all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.
Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.
Education/Certification: High school diploma or equivalent.
Experience: Experience interpreting EOBs, remittance advice, and payer policies.
Equipment/Technology: Proficiency with billing systems and electronic health records (EHR)
Language/Communication: Strong written and verbal communication skills.
Interpersonal: Excellent analytical, problem-solving, and organizational skills.
What Mountain View Hospital (Idaho Falls) employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Mountain View Hospital
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Idaho Falls, ID, US
Year founded
2002