- Centene Corporation (Lansing, MI)
- …workplace flexibility. **Position Purpose:** Supports the documentation and processing of appeals , disputes and reconsiderations to ensure they are in accordance ... Committee for Quality Assurance (NCQA) requirements. Support the team to ensure appeals , disputes and reconsiderations are reviewed and processed timely. + Performs… more
- Baptist Memorial (Memphis, TN)
- … RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC revenue cycle as ... claims and denial resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the payer, completes… more
- Baptist Memorial (Memphis, TN)
- … RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC revenue cycle as ... claims and denial resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the payer, completes… more
- Sacramento County (Sacramento, CA)
- Personnel Specialist Level I/ II Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/3729441) Apply Personnel Specialist Level I/ II ... 6/4/25 (Final) Level I: $5,357.50 - $6,512.83 Monthly Level II : $5,893.42 - $7,163.58 Monthly The Personnel Specialist...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- State of Colorado (Grand Junction, CO)
- Youth Services Specialist II - Grand Mesa YSC - Grand Junction Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4914257) Apply Youth ... Services Specialist II - Grand Mesa YSC -...Services Specialist II - Grand Mesa YSC - Grand Junction Salary...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Pueblo, CO)
- Youth Services Specialist II - Pueblo DYS Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4942944) Apply Youth Services Specialist ... partially accountable for the work product of Youth Services Specialist I (YSS I). Specific duties and expectations are:...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (CO)
- CDOC Addiction Specialist II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4765768) Apply CDOC Addiction Specialist II Salary ... the State of Colorado as: + a Certified Addiction Specialist (CAS) OR + an Addiction Counselor Candidate (AC-C)...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing ... Specialist II - Patient Financial Services Salary...to the billing department, analyzes reasons for denials, submits appeals and reconsideration requests, and makes appropriate corrections and… more
- State of Colorado (Denver, CO)
- Education Specialist (Compliance Specialist II ): DORA/Division of Real Estate Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4952406) ... Apply Education Specialist (Compliance Specialist II ): DORA/Division...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of… more
- State of Colorado (Pueblo, CO)
- Transitional Care Specialist II / Health Care Tech II - MHTL- Pueblo Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4897470) Apply ... Transitional Care Specialist II / Health Care Tech ...Transitional Care Specialist II / Health Care Tech II - MHTL-...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Pueblo, CO)
- Quality Assurance Policy Specialist /Auditor/Health Professional II - Forensic Services Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4940917) Apply Quality Assurance Policy Specialist /Auditor/Health Professional II - Forensic Services Salary… more
- State of Colorado (Golden, CO)
- Electronics Specialist II - Golden Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4944448) Apply Electronics Specialist II - ... Node Sites across the State. About the Position The Electronics Specialist position will be inspecting, troubleshooting, maintaining, and documenting fiber-optic and… more
- State of Colorado (Colorado Springs, CO)
- Behavioral Health Specialist , Social Work/Counselor II - Spring Creek Youth Services Center Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4950897) Apply Behavioral Health Specialist , Social Work/Counselor II - Spring Creek Youth… more
- State of Colorado (Denver, CO)
- Project Manager - Environmental Protection Specialist II - 2616 Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4956318) Apply Project ... Manager - Environmental Protection Specialist II - 2616 Salary $74,604.00 -...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel… more
- State of Colorado (Grand Junction, CO)
- Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II ) - Grand Junction Print ... Apply Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II ) - Grand Junction Salary $63,456.00...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Maine, Bureau of Human Resources (Portland, ME)
- Environmental Licensing Specialist II - 2181 - Portland Portland , Maine , United States | Environmental & Energy | Full-time | Partially remote Apply by: June ... 6, 2025 Apply with Linkedin Apply ENVIRONMENTAL LICENSING SPECIALIST II Opening Date:May 16, 2025Closing Date:June 06, 2025 Location:PortlandPosition… more
- Methodist Health System (Dallas, TX)
- …address, and resolve no response claims, denied claims, and correspondence. As an AR II Specialist , you will play a crucial role in optimizing revenue flow ... Description :** We are seeking an experienced Accounts Receivable II (AR II ) Specialist specializing...actions based on correspondence received, such as claim corrections, appeals , or adjustments. + Conduct thorough follow-up on aging… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …assigned. Incumbent may progress non-competitively to PD 3682 Labor and Employee Relations Specialist II , NF-04 (SC 4B) upon the completion of qualification ... Title: Labor/Employee Relations Specialist I/ II / III (Non-competitive Progression)...and when necessary assists with responding in writing to appeals and/or prepares documents for hearings. - Develops and… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Billing Specialist II is responsible for processing and auditing insurance claims, rebilling denied claims, and resolving billing ... and maintains compliance with payer regulations and corporate policies. The Billing Specialist II demonstrates advanced knowledge of billing procedures, coding… more