Showing 1-20 of 564
Showing 1-20 of 564

Clinical Appeals Specialist jobs

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CDPHP-Albany, NYEst. salary:$46,000 - $61,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

A minimum of one (1) year clinical experience required. This individuals will perform and coordinate the clinical component of the provider appeal function...

Alaska Heart and Vascular Institute-Anchorage, AKEst. salary:$24,000 - $33,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Required - Working knowledge of health insurance and appeals. Knowledge of coding , medical terminology, insurance billing , appeals, and authorization....

Sharp Healthcare-San Diego, CAEst. salary:$77,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Clinical Specialist Jobs, Nurse Educator Jobs, RN Educator Jobs, RN Jobs, Clinical Appeals Jobs, Case Manager Jobs, RN Case Management Jobs, Utilization Review,...

Kite Pharma, Inc.-Santa Monica, CAEst. salary:$56,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The Reimbursement and Appeals Specialist is responsible for managing all reimbursement activities for oncology patients from benefit investigations, prior...

Providence Health & Services-Santa Monica, CAEst. salary:$70,000 - $92,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Monitor clinical performance forimprovement and investigate problems identified concerning theorganization.Track and trendgrievances, appeals and quality issues...

Top TN Workplace--The Next Door-Nashville, TNEst. salary:$30,000 - $43,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Assists as needed with follow-up on insurance denials, appeals, and reconsiderations. Communicating all pre-certification outcomes to the UR team, clinical and...

Medical Staffing Network Care Management-Arlington Heights, ILEst. salary:$56,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

RN Clinical Denials Specialist Requirements*. Appeal all clinical denials according to managed care guidelines/deadlines....

Confidential Name-Tamarac, FLEst. salary:$58,000 - $80,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Write Appeal Letters. Case Review (internal QA) - Review active cases to ensure that Utilization Review Specialist are following clinical guidelines/processes....

Alameda Alliance for Health-Alameda, CAEst. salary:$36,000 - $47,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Work with Medical Director, UM Management and clinical staff as well as other departments at the Alliance to receive, date, document and resolve inquiries...

Kindred At Home-Troy, MOEst. salary:$71,000 - $98,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

As a Clinical Manager Specialist for our Hospice Division, you will:. Provide regular communication with the hospice staff, including clinical staff, regarding...

Providence Health & Services-Everett, WAEst. salary:$47,000 - $63,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Providence is calling an experienced Registered Nurse to be a Clinical Documentation Specialist at Providence Regional Medical Center Everett, in Everett, WA....

Conduent-Somerset, NJEst. salary:$35,000 - $51,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Must have clinical knowledge. Conduct and coordinate appeals on issues of utilization and therapy management....

Providence Health & Services-Santa Monica, CAEst. salary:$98,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

This new medical group is comprised of specialists who are world renowned in. Minimum three to five years experience of clinical nursing in an ambulatory...

KNF&T Staffing Resources-Northborough, MAEst. salary:$23,000 - $32,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Responsibilities for the Pharmacy Medical Insurance Specialist:. Our client in Northborough, MA is seeking a Pharmacy Medical Insurance Specialist to join their...

Tactile Medical-Minneapolis, MNEst. salary:$48,000 - $67,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Clinical criteria, payments). Assist the Reimbursement Department by obtaining pertinent clinical documentation requested by payers to ensure individual prior...

Confidential-Healthcare-Atlanta, GAEst. salary:$46,000 - $62,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Utilization Review Appeals Specialist*. The Clinical Appeals Specialist will work with all departments to gather the appropriate documentation for the client’s...

AmeriWound, LLC-Mayfield Heights, OHEst. salary:$30,000 - $42,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Managed Care Specialist*. 1-3 year’s Insurance Verification, Pre-Certification Appeals and/or Follow up. Our licensed team of Physicians, Nurse Practitioners,...

Alameda Alliance for Health-Alameda, CAEst. salary:$59,000 - $73,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Support Clinical Pharmacists to resolve all pharmacy-related member complaints and grievances and appeals including those related to the pharmacy authorization...

HealthSCOPE Benefits-Little Rock, AREst. salary:$32,000 - $44,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Coordinate drafting and mailing of letters related to member appeals. Utilize criteria and other resources and clinical evidence to develop sound and well...

AllCare Plus Pharmacy-Northborough, MAEst. salary:$24,000 - $31,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Our Insurance Specialists are responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations and check...


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