and caregivers. Accounts Receivable Specialist - Healthcare Houston, TX (NOT Remote) Monday - Friday in Office Full Time... coding levels by reviewing clinical documentation and operative reports. File appeals and other re-considerations to various...
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations... authorization requests. Pharmacy Prior Authorization Specialist Primary Responsibilities: Assist with medical necessity...
We have a dynamic opportunity for an experienced AR Collection Specialist to join our team. Our ideal candidate..., appeals, rejections and claims with no activity. To be successful in this role, the candidate must be highly motivated...
. Coordinates Peer to Peer as needing with the referring physician. Submits appeals as required. · Participates in workflow...
with Claims Administrators, the CA Division of Workers' Compensation (DWC), and internal teams to manage appeals, eligibility... date received to date closed for Independent Billing Review (IBR) and determine eligibility of CA IBR appeals. - Respond...
or analyzes information on adverse underwriting decisions, rate appeals, underwriting requirements, status and declinations...: Underwriting Specialist, Underwriting Consultant or Underwriting Consulting Director. Typically starting at 3+ years of related...