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Quadax, Inc.
Overview
The Appeals Specialist is responsible for reviewing denials and EOBs, determining appeal strategies based on case history and payer requirements, and preparing and submitting appeal documentation. This role also involves coordinating hearings and ensuring compliance with all levels of the appeal process while meeting filing deadlines.
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Compensation
Salary not listed
Posted
2 months ago
VARIETY CARE INC
The Credentialing Specialist is responsible for collecting and confirming provider information to process and file reports with accrediting and licensing agencies, while also maintaining a database of provider information. Primary duties include managing initial and re-appointment application processes, ensuring timely completion of paperwork, and assisting with necessary verifications to meet deadlines.
Christie Clinic
This specialist is responsible for preparing, submitting, and maintaining all enrollment, credentialing, and recredentialing documentation for physicians, providers, and clinic facilities with government payers. They will also cross-train to support and provide coverage for the Commercial Credentialing Specialist when necessary.
$21 - $29 / HOUR
3 months ago
The Appeals Specialist is responsible for reviewing denials and gathering necessary information to determine and execute the appropriate appeal strategy, including creating appeal letters and coordinating hearings. This role requires strict compliance with all levels of the appeal process and meeting established filing deadlines and productivity goals.
The Credentialing Specialist collects and confirms provider information to process and file reports with accrediting and licensing agencies, while maintaining a provider information database. Primary duties include managing initial and re-appointment applications, ensuring timely completion of paperwork, and verifying required documents and licenses.
Pain Control of Texas PLLC
This role manages insurance denials and payer disputes from identification through resolution, focusing on ensuring accurate reimbursement for services rendered. Key duties include reviewing, analyzing, and resolving claim denials, and preparing and submitting first-level and escalated appeals to various payers.
