Tennessee Licensed Appeals AnalystVirtualVocations • Fort Lauderdale, Florida, United States
[error_messages.no_longer_accepting]
Tennessee Licensed Appeals Analyst
VirtualVocations • Fort Lauderdale, Florida, United States
[job_card.variable_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]
A company is looking for an Appeals Analyst for Medicare Part B.
Key Responsibilities
Researches and documents complex appeal or retrospective review requests in compliance with regulations
Performs thorough reviews of service appeals based on clinical documentation and contractual requirements
Conducts special projects to identify quality of care issues through clinical information reviews
Required Qualifications and Education
Associate's degree in a job-related field or graduate of an accredited school of nursing
2 years of clinical experience plus 1 year of utilization / medical review or quality assurance, or 3 years of clinical experience
Active, unrestricted RN license from the United States or compact multistate RN license
Working knowledge of managed care and healthcare delivery systems
Strong clinical experience, including home health and rehabilitation
[job_alerts.create_a_job]
Tennessee Tennessee • Fort Lauderdale, Florida, United States
[internal_linking.similar_jobs]
Abarca is igniting a revolution in healthcare.We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning.Our Drug Value Stra...[show_more]
Polaris Pharmacy Services of Ft Lauderdale - Ft.At Polaris Pharmacy Services, we're more than a pharmacy - we're a dedicated partner in care, transforming how patients experience long-term, post-ac...[show_more]
Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies includi...[show_more]
Entry Level Associate - Oliver Parks Executive Search.Launch Your High-Impact Career in Specialist Executive Search!.Are you ready to turn your ambition into achievement in the thriving tech landsc...[show_more]
Process payments for FirstService invoices and other miscellaneous payments that come in.Process large volume of payments for multiple companies & associations following the organization and Sarban...[show_more]
Sales Operations Analyst - ABA Centers of America (Corporate HQ).Downtown Fort Lauderdale, FL HQ – In-Office.This position is on-site in our Fort Lauderdale corporate office Monday-Friday.We are th...[show_more]
Pricing Analyst – Hybrid (Multiple Locations).Direct Counsel is representing an.This hybrid role is open to candidates located in a.
The ideal candidate will have a strong financial background...[show_more]
Responsible for customer account reconciliation of of open receivables.Respond to and collaborate with critical customers to resolve overdue balances, attempting to either collect or negotiate paym...[show_more] Primary Duties / Responsibilities : .Analyzing and structuring complex sales transactions to align with company policies and customer needs.
Evaluating deal profitability, risk, and compliance.Oversig...[show_more] 
Broward Health Corporate Spectrum.Participates in negotiating, drafting, and revising complex contract terms and conditions within established timelines.
Assesses their impact and associated risk an...[show_more]
At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care.
LogixHealth was founded in the 1990s by physicians to service their own ...[show_more]
Our client is hiring a Benefits Analyst with strong self-funding expertise to join their growing team.If you thrive on turning data into strategy and love building innovative benefits solutions, we...[show_more]
Our client is hiring a Benefits Analyst with strong self-funding expertise to join their growing team.If you thrive on turning data into strategy and love building innovative benefits solutions, we...[show_more] Primary Duties / Responsibilities : .Reviewing legal contracts, language and creation of accurate proposals for complex deals to ensure alignment with corporate policies.
Leveraging a clause library t...[show_more] 
We are seeking individuals who have experience in the rental property industry and has an eager attitude.Lula is a service designed for property managers to eliminate the hassle of managing and coo...[show_more]
At EisnerAmper, we look for individuals who welcome new ideas, encourage innovation, and are eager to make an impact.Whether you're starting out in your career or taking your next step as a seasone...[show_more]
Epic Professional Billing Analyst (W-2 only, no 3rd parties, no C2C, no visas).Hybrid 50% onsite (needs to be onsite 5 out of 10 working days 50% of pay cycle).
This position is responsible for admi...[show_more]
New opportunities for experienced legal assistants and paralegals with litigation experience.Solomon Search is recruiting and interviewing candidates with relevant, law firm experience in the follo...[show_more]
Senior Underwriting Analyst
Abarca Health • Aventura, FL, United States
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Cash Application Specialist
Polaris Pharmacy Services • Fort Lauderdale, FL, United States
[job_card.full_time] +1
[last_updated.last_updated_variable_days] • [promoted]
Freelance Consumer Opinion Analyst (Hiring Immediately)
Maxion Research • Ojus, Florida, US
[job_card.part_time]
[last_updated.last_updated_30] • [promoted]
Analyst - US Division
Oliver Parks • Fort Lauderdale, FL, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Payment Applications Analyst
FirstService Residential • Hollywood, FL, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Sales Operations Analyst
ICBD • Fort Lauderdale, FL, US
[job_card.full_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_variable_days]
Pricing Analyst Fort Lauderdale
Direct Counsel • Fort Lauderdale, FL, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Lead Business Process Operations Analyst
Cloud Software Group, Inc. • Fort Lauderdale, FL, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Lead Deal Desk Analyst
Cloud Software Group, Inc. • Fort Lauderdale, FL, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Contracts Analyst
Broward Health • Fort Lauderdale, FL, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Reimbursement Analyst, Audit & Contracting
LogixHealth, Inc. • Dania Beach, Florida, United States, 33004
[job_card.full_time]
[last_updated.last_updated_30]
Benefits Analyst (Fort Lauderdale)
Craig Bradford Associates • Fort Lauderdale, FL, US
[job_card.part_time]
[last_updated.last_updated_variable_days] • [promoted]
Benefits Analyst
Craig Bradford Associates • Fort Lauderdale, FL, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Senior Contract Analyst
Cloud Software Group, Inc. • Fort Lauderdale, FL, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Appliance Pro Needed (Fort Lauderdale)
Lula • Fort Lauderdale, FL, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Partner- Forensic, Litigation & Valuation Services
EisnerAmper • Fort Lauderdale, FL, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Epic Professional Billing Analyst - FTE
HCTec • Fort Lauderdale, FL, US
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Law Firm Opportunities
Solomon Search Group • Fort Lauderdale, FL, US
[job_card.full_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_30] • [promoted]