- Genmab (Berkeley Heights, NJ)
- …verifications, research of prior authorizations and support through the appeals processEvaluate and refer patients to appropriate financial assistance ... landscape, feedback from customers and process improvements to the Case Management Supervisor and Head of Call CenterCollaborate with PSS Field Teams (Field… more
- Mom's Meals (Ankeny, IA)
- Position SummaryThe Revenue Cycle Management Supervisor will supervise and lead a team of Billing Specialists and ensure that the goals and metrics set by the ... high quality work and customer service. The Medical Billing Supervisor will also serve as an expert on billing...in the following areas: billing; claims rejections; denials and appeals Physical Requirements + Repetitive motions that include the… more
- Teleflex (Olive Branch, MS)
- GSC L&D Operations Supervisor Intern **Date:** Oct 9, 2025 **Location:** Olive Branch, MS, US **Company:** Teleflex **About Teleflex Incorporated** As a global ... more information, please visit teleflex.com. **Position Summary** The Operations Supervisor Intern will gain hands-on experience in warehouse leadership...their best and unique selves to work. If that appeals to you, we would love to hear from… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …2 years of experience - hospital billing, processing claim edits, denials, appeals and managing accounts receivable. Experience with Epic Resolute Hospital Billing ... or similar hospital billing systems. In lieu of Bachelor's: 5 years of experience in a lead/supervisory role OR 7+ years of progressive experience in revenue cycle accounts receivable for a large hospital or health system PREFERRED QUALIFICATIONS: 5 years of… more
- TGC Search (Dallas, TX)
- …processes and improve efficiency. Handle electronic billing submissions, budgeting, and appeals related to legal matters. Support a high-performing team dedicated to ... years of billing experience in a law firm environment (leadership or supervisor experience preferred) Proficiency in both traditional billing and eBilling processes… more
- Hawaiian Electric (Honolulu, HI)
- …and property damage claims, from case inception to judgment and appeals ; advising officers, managers and employees regarding proposed legislation, newly enacted ... all aspects of litigation matters from case inception to judgment and appeals . SENIOR ASSOCIATE GENERAL COUNSEL (LITIGATION & REGULATORY) JOB FUNCTION: Provide… more
- AbilityFirst (Pasadena, CA)
- …planned giving, grants/foundations, special events, corporate sponsorships, and annual appeals . Design and implement new strategic fundraising campaigns and ... fact that all employees are at-will. It is the supervisor 's responsibility to orient the employee and to communicate...the employee and to communicate the expectations of the supervisor and AbilityFirst, as well as to evaluate whether… more
- CannabizTeam (San Diego, CA)
- …CA Key Responsibilities: Prepares legal documents such as briefs, pleadings, appeals , contracts, initial & amended articles of incorporation, stock certificates, and ... executive teams. Executes ad hoc projects as assigned by direct supervisor . Outstanding lawyer/client relations skills Ability to convey complex legal information… more
- Stony Brook University (East Setauket, NY)
- …business functions including but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service. **Duties of a Revenue ... on rejected or denied claims, improper payments and coding issues. + Process appeals . + Liaise with third party billing and collection agencies. + Identify issues… more
- Mom's Meals (Ankeny, IA)
- …Resolve claim rejections timely and resolve claim denials through research, appeals , claim corrections/resubmission, and follow-up with health plans + Ensure ... and processes + Resolve entry-level issues and pass complex issues on to supervisor + Execute write-offs and ensure proper documentation and compliance + Participate… more
- Tutor Perini (Fresno, CA)
- …reports to the Project Executive, Operations Manager or other assigned supervisor . **RESPONSIBILITIES** **:** + Maintains a SAFE jobsite, monitors safety and ... health, and insurance inspectors on walk through tours. + Prepare written appeals for safety violation citations. + Additional assignments on supervisor 's… more
- Tutor Perini (New York, NY)
- …safety, health, and insurance inspectors during site walkthroughs. + Prepare written appeals for any safety violation citations. + Perform additional tasks assigned ... by the supervisor . + Train and mentor safety staff. + Plan, assign, and delegate work responsibilities. + Conduct performance evaluations and provide constructive… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …+ Work with insurance carriers and MSKCC billing departments to initiate appeals and acquire authorizations for treatment **Key Qualifications:** + Current NYS ... York Avenue, New York, New York + Reporting to: Supervisor , Case Management **Helpful Links:** + MSK Compensation Philosophy… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process for ... Directs the activities and serves as a resource for associates within the Appeals and Grievances Department for Government Programs. We are looking for an… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Customer Solution Center Appeals and Grievances (Temporary) Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los ... net required to achieve that purpose. Job Summary The Supervisor , Customer Solution Center Appeals and Grievances...Job Summary The Supervisor , Customer Solution Center Appeals and Grievances is responsible for direct supervision and… more
- Catholic Health (Buffalo, NY)
- …on role of management and oversight of team Summary: The Clinical Denials and Appeals , Clinical Supervisor is responsible for the people, carrying out and ... documenting the appeals process for denied claims denied due to reasons...and third-party payers in scenarios related to denials and appeals . This position educates all members of the patient… more
- Molina Healthcare (Columbus, OH)
- …for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider ... tracking system and database of correspondence and outcomes for provider and member appeals ; monitors each appeal to ensure all internal and regulatory timelines are… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** Reporting to the Supervisor , Appeals and Grievances, this position is responsible for ... the administrative tasks for coordination of member and/or provider appeals , the analysis of claims and appeals ,...provider appeals , the analysis of claims and appeals , and the review of medical management authorizations.; +… more
- Covenant Health Inc. (Knoxville, TN)
- …appeals hand-offs, maintaining payer correspondence and claims processing. + Notifies Appeals Supervisor or Revenue Integrity Manager when trends are ... Overview Insurance Appeals Associate, Revenue Integrity and Utilization, Full Time,...follow-up with regard to clinical and medical necessity insurance appeals . Analyzes all correspondence regarding insurance denials for the… more
- State of Colorado (Denver, CO)
- Director of the Industrial Claims & Appeals Office Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5109103) Apply Director of the Industrial ... Claims & Appeals Office Salary $105,720.00 - $144,528.00 Annually Location Denver,...to the listed address at the discretion of the supervisor and based on business need. The Department of… more
