Morgan Stephens

We are seeking and experienced Claims Appeals Specialist. Please note that remote positions require that you live within 25 miles of the job site - Spokane. PRINCIPAL DUTIES AND RESPONSIBILITIES: In accordance with State and Federal laws, identifies, investigates and resolves claims under review, returned, disputed, or denied by either a commercial or a government payer (e.g. Blue Cross Blue Shield or Medicare). Performs detailed review and analysis to investigate audit requests from Medicare Recovery Audit Contractors. Determines why a claim is under review, in dispute, or was denied. Coordinates with various internal departments ensuring all appropriate documentation is obtained in order to respond to audit requests appropriately. Ensures all requests for patient information meets applicable HIPAA requirements before information is shared. Requests copies of the medical records and corresponding claims. Analyzes information obtained to identify discrepancies and anomalies...

This is a remote position, however employees will be expected to attend in person trainings and meetings from time to time in Columbus. Therefore resumes that are not local to the area or missing address will be filtered out. About us: Morgan Stephens represents the nation's top healthcare systems offering the highest compensation and benefits to our top candidates. We are created and managed by experienced industry professionals in healthcare. As a leading provider of contract, contract to perm, and direct placement recruiting services to healthcare organizations throughout the United States, we have successfully served the needs of our employees and clients by placing thousands of quality healthcare professionals into organizations seeking top talent. Open Position: We are a Fortune 500 Healthcare Company looking for ambitious and mission driven healthcare professionals for full-time opportunities. The Data Entry Clerk completes data entry related to health plan members....

Please note that remote positions require that you live within 25 miles of the job site. About us: Morgan Stephens represents the nation's top healthcare systems offering the highest compensation and benefits to our top candidates. We are created and managed by experienced industry professionals in healthcare. As a leading provider of contract, contract to perm, and direct placement recruiting services to healthcare organizations throughout the United States, we have successfully served the needs of our employees and clients by placing thousands of quality healthcare professionals into organizations seeking top talent. Open Position: We are currently seeking ambitious healthcare professionals for an Insurance Authorization Representative position. This position will provide daily pre-certification billing activities and communications between customers and insurance companies. Insurance Authorization Representatives regularly obtain pre-certifications from insurance...