- HCA Healthcare (Nashville, TN)
- …of each individual is recognized. Submit your application for the opportunity below: Appeals Specialist . **Benefits** Parallon, offers a total rewards package ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...benefits may vary by location._** We are seeking an Appeals Specialist for our team to ensure… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical, operations, pharmacy, dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in day-to-day ... 011540 CCA- Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and Grievances… more
- The County of Los Angeles (Los Angeles, CA)
- …Board Specialist Management Assistant Operation Assistant Personnel Assistant Senior Board Specialist Senior Departmental Personnel Assistant ... Board Specialist Management Assistant Operation Assistant Personnel Assistant Senior Board Specialist Senior Departmental Personnel Assistant… more
- State of Arkansas (AR)
- …for manager, legal and appeals tribunal for hearings. Attend hearings and appeals related to each tax specialist 's 515 account. Research and remove any ... appeals tribunal for hearings. + Attend hearings and appeals related to each tax specialist 's 515...strategies. Present clear and concise tax advisory reports to senior management. Provide training or support to junior personnel… more
- Johns Hopkins University (Middle River, MD)
- …rejections processes to resolve standard issues or escalate to a more senior specialist . **Specific Duties and Responsibilities** _Procedural Knowledge_ + Uses ... file or pull EOB batches. + Identifies and escalates non-standard appeals to a higher-level specialist . + Informs the supervisor / Production Unit Manager of… more
- Johns Hopkins University (Middle River, MD)
- … and rejections processes to resolve standard issues or escalate to a more senior specialist . **Specific Duties & Responsibilities** + Uses A/R follow-up systems ... file or pull EOB batches. + Identifies and escalates non-standard appeals to a higher-level specialist . + Informs the supervisor / Production Unit Manager of… more
- The County of Los Angeles (Los Angeles, CA)
- …Board Specialist Management Assistant Operation Assistant Personnel Assistant Senior Board Specialist Senior Departmental Personnel Assistant ... Accountant I Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration with clinical team...appropriate, DRG recoupments/downgrades, and denials for no authorization. The Senior Denials Management Specialist position communicates clinical… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist - Senior will be responsible for reviewing coding and clinical ... They will aid in training other team members, evaluating appeals , and share audit trends across the team. Expertise...audit tips across the team. The Clinical & Coding Specialist - Senior will support the leadership in Hospital… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division ... the new eligibility system for New York's Complex Medicaid population, and the new appeals management system. The individual will act as a liaison between the DEMI… more
- Movn Health (CA)
- Role Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts ... receivable recovery. This is a hands-on, senior -level role focused on accelerating cash flow, reducing outstanding...with a proven track record in A/R recovery, claim appeals , and payer follow-ups. Experience in startup environments and… more
- Sacramento County (Sacramento, CA)
- Senior Behavioral Health Peer Specialist Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/2979607) Apply Senior Behavioral Health ... Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days...best describes how you meet the minimum qualification for Senior Behavioral Health Peer Specialist . Current or… more
- City and County of San Francisco (San Francisco, CA)
- …currently has a full-time vacancy in class 4215 Senior Office Specialist (https://careers.sf.gov/classifications/?classCode=4215&setId=COMMN) . This is ... Two (2) years equivalent to or higher than a 4214 Assessor-Recorder Office Specialist in the City/County of San Francisco; OR Pattern III Education: Completion of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Billing Specialist -Obstetrics and Gynecology Administration-Mount Sinai Beth Israel, 250 West 57th Street-Full Time, Days** The ... Senior Billing Specialist is responsible for multiple...and work missing charges, edits, denials list and process appeals . Posts denials in IDX on a timely basis.… more
- Amentum (Springfield, VA)
- Amentum is seeking a ** Senior Personnel Security Specialist ** to support the National Geospatial-Intelligence Agency (NGA) and Office of Security (SIS) in ... of the government in a timely manner. + Support the NGA Personnel Security Appeals Board process by coordinating with subjects and PSAB Board Members or their… more
- St. Luke's Health System (Boise, ID)
- …of colleagues, St. Luke's is truly a great place to work. **Overview:** The Senior Pharmacy Benefits Specialist assists our members in identifying and navigating ... on resolving claim rejections, copay assistance programs, and escalated prior authorization appeals . + Will assist in preparing for and leading team member meetings.… more
- Baptist Memorial (Jackson, MS)
- Overview Job Summary The Accounts Receivable Follow Up Specialist performs all collection and follow up activities with third party payers to resolve all outstanding ... team efforts in the achievement of accounts receivable performance goals. The Specialist performs daily activities related to the successful closure of aged accounts… more
- CVS Health (Augusta, ME)
- …**Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical ... written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals . - Ensures all compliance requirements are satisfied and all… more
- Tufts Medicine (Boston, MA)
- …a variety of areas including employee discipline/corrective action and employee appeals and the grievance process. 2. Develops and modifies Employee Relations ... development. 9. Collaborates with colleagues to plan and organize employee recognition events. 10. Maintains collaborative, team relationships with peers and… more
- Centene Corporation (Jefferson City, MO)
- …division of financial responsibility interpretation, contract rate and language interpretation, appeals , grievances and eligibility. + Serve as primary point of ... contact and liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider contracts by researching and partnering to resolve provider claims and data issues. + Act as department subject matter expert. +… more