- Catholic Health Services (Melville, NY)
- …Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate utilization ... management and appeals functions to include coordination of specific process and payment related activities. Position Responsibilities: | Prepares necessary… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? **Summary:** + The Clinical Appeals Coordinator will play an essential role in maximizing collection of revenue ... degree in Nursing and 5+ years Working as a RN Case Manager and /or Appeals Coordinator required. We believe that the best care for our patients starts with the… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... link Job Details: Internal Posting: 02/25/25 to 03/10/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of this class assists… more
- Centene Corporation (Phoenix, AZ)
- …**Position Purpose:** Provide support and direction for the daily operations of the appeals function + Provide consultation for problem resolution for appeals ... degree in related field or equivalent experience. 2+ years of grievance and appeals experience in a Healthcare or Managed Care setting. *Prefer claims and prior… more
- VNS Health (Manhattan, NY)
- …including intake, classification, setup, and assignment of grievances and appeals . Additionally, provides administrative support to staff, including tasks such ... as clinical case file preparation for appeals . This includes retrieving documents from related systems (such...Do + Identifies case types (eg- clinical vs non-clinical appeals ) during the intake process, communicates and responds to… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Appeals and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written ... complaints, grievances and requests for appeals that involve complex matters submitted by Members and...written and fax referred cases from member and provider appeals and complaints for all lines of business, ensuring… more
- CVS Health (Harrisburg, PA)
- …issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from ... outside plan sponsors or regulators. * Research and resolves incoming electronic appeals as appropriate as a "single-point-of-contact" based on type of appeal. *… more
- Crossroads Hospice & Palliative Care (Green, OH)
- …backgrounds + Problem-solving skills to research and resolve discrepancies, denials, appeals , collections Billing Coordinator Schedule & Benefits: + Schedule: ... we can create lasting impacts that transcend medical treatment. Billing Coordinator Responsibilities: + Obtain referrals and pre-authorizations as required for… more
- University of Washington (Seattle, WA)
- …S&A also administers the payment of citations and adjudication of citation appeals . The S&A Communications Program Coordinator is responsible for managing ... Transportation Services has an outstanding opportunity for a **Program Coordinator , Customer Communications** . The Transportation Services Sales & Administration… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Centralized Appeals Unit - Supervisor Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4881433) Centralized Appeals Unit - Supervisor ... + Description + Benefits Supplemental Information Please click HERE (https://ulsuno.wd1.myworkdayjobs.com/en-US/UniversityOfNewOrleans/job/Baton-Rouge-La/Centralized- Appeals -Unit Supervisor\_R-001713?q=R-001713) to apply + Manage and report on… more
- CUNY (New York, NY)
- …action efforts, including the Annual Affirmative Action Plan; + As 504/ADA Coordinator , review appeals of reasonable accommodation request decisions; + ... to improve services; + Conducting fact-finding investigations, including as Title IX coordinator , that ensure due process for all parties in response to complaints… more
- State of Colorado (Denver, CO)
- DWR - River Coordinator - South Platte (PSRS IV) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4912005) Apply DWR - River Coordinator - ... TO CURRENT RESIDENTS OF COLORADO The Upper Mainstem River Coordinator acts on behalf of the statutory and staff...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (CO)
- CPW WILDLIFE MANAGER IV /Aquatic Invertebrate Coordinator - (Colorado) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4912099) Apply CPW ... WILDLIFE MANAGER IV /Aquatic Invertebrate Coordinator - (Colorado) Salary $73,656.00 - $95,748.00 Annually Location...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- Utility Service Account Coordinator - Greeley Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4890941) Apply Utility Service Account ... Coordinator - Greeley Salary $76,500.00 - $80,652.00 Annually Location...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Massachusetts (Boston, MA)
- …for issuing non-compliances and termination notices to families. When a family appeals a non-compliance/termination, the NC Coordinator is responsible for ... Office of Housing and Livable Communities (EOHLC) is seeking a Non-Compliance Coordinator /Program Coordinator III in the Division of Housing Stabilization!_*… more
- Clark County, NV (Las Vegas, NV)
- GRANTS COORDINATOR Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4921951) Apply GRANTS COORDINATOR Salary $32.74 - $50.81 Hourly ... Court is seeking qualified candidates to apply for the Grants Coordinator position. This position plans and organizes administrative, operational and budgetary… more
- State of Colorado (Denver, CO)
- Gun Shop Project Coordinator - Temporary Aide Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4883898) Apply Gun Shop Project Coordinator ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAAA Coordinator , Dan McKenna, at ###@state.co.us or call ###, option… more
- Athena Health Care Systems (Marlborough, MA)
- We are hiring a Resident Care Coordinator Assistant (RCCA) to join our dynamic care team at Marlborough Hills Rehabilitation & Health Care Center! Full-time, 3p-11p ... to grow within the company. As a Resident Care Coordinator Assistant, you will assist the Resident Care ...and faxes medical records to QIO for any requested appeals . + Assists with compiling medical records and preparing… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Management (CM) Coordinator position is a proficient CM representative that provides technical, clerical and data management support ... and other community resources and transportation. In addition, the CM Coordinator position anticipates independent actions necessary to provide competent and… more
- US Courts (Washington, DC)
- Summary The United States Court of Appeals for the Federal Circuit (CAFC) is unique among the thirteen Circuit Courts of Appeal. It has nationwide jurisdiction in a ... about our court please click here. Responsibilities The Human Resources Program Coordinator will provide a full range of human resources (HR) services including… more
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