• Arizona Department of Administration (Phoenix, AZ)
    Apprentice Attorney 3, Appeals Job No: 534117 Work Type: Full-time Location: REMOTE OPTIONS Categories: Legal/Investigations/Adjustment/Compliance DEPT OF REVENUE ... and commit to continuous improvement with sustainable progress. Apprentice Attorney 3, Appeals Job Location: Address: 1600 W. Monroe St, Phoenix AZ 85007 Posting… more
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  • UHS (Riverside, CA)
    …management, formally, or informally, either verbally or in writing. 1. Assist the supervisor as requested. 2. Review, adjust, and/or mail out all assigned tracer ... claims 3. Initiate claim review and/or appeals , as indicated on assigned explanation of benefits. 4....missing information, and billing discrepancies. 7. Prepare and submit appeals for denied claims, utilizing a comprehensive understanding of… more
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  • State of Colorado (Denver, CO)
    …Determine need for project work, coordinate and schedule with area staff and supervisor and perform work. Arrange a daily cleaning schedule to work around absent ... of the department's action. For more information about the appeals process, the official appeal form, and how to...chemicals, equipment used, environments worked in, roles held (lead, supervisor , etc.), populations worked with and job tasks. 09… more
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  • State of Colorado (Denver, CO)
    …of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules. Supplemental Information How… more
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  • Actalent (Wallingford, CT)
    …This position collaborates closely with the Billing team and Collections Supervisor to ensure efficient claims processing and resolution. Responsibilities Monitor ... kick-out edits. Manage accounts receivable through system modules and reports. Resubmit appeals and follow up on unpaid or incorrectly processed claims. Answer… more
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  • United Nations (New York, NY)
    …* Monitors issues on conditions of service of staff and advises the supervisor of any developments and the work of the human resources assistants/HR partners. ... Assists in providing documentation and background materials relating to classification appeals . General * Assists in providing documentation and background materials… more
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  • Zelle LLP (Washington, DC)
    JOB TITLE: Legal Billing Specialist FLSA STATUS: Non-Exempt SUPERVISOR : Controller SUMMARY: Compiles, manages, and executes attorney billing. This includes advanced ... split bills, submit ebills to various Ebilling platforms, monitor rejections/deductions, appeals and set up and management of timekeepers. Demonstrates expertise in… more
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  • State of Colorado (Aurora, CO)
    …to local jurisdictions) across the state. This position supports the AFN Supervisor on other initiatives such as stakeholder communication and outreach, the annual ... Administrative Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel Director's Administrative… more
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  • State of Colorado (Golden, CO)
    …Group (YCDG) and DYS Senior Leadership Group (SLG). Acts as the third-level supervisor to all employees at the three CALM youth centers. Key Responsibilities ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
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  • Cuyahoga County Prosecutor's Office (Cleveland, OH)
    …Prosecuting Attorney Salary: $80,580 Department: CSEA - Prosecutor's Office Reports to: Unit Supervisor The Juvenile Justice Center Hours: 8:30 am - 4:30 pm 9300 ... Divisions of Domestic Relations and Juvenile, and Courts of Appeals . RESPONSIBILITIES: Provide legal advice to and legal representation...the OCSS' brief in the Eighth District Court of Appeals and, when needed, the Ohio Supreme Court. Performs… more
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  • Premier Administrative Solutions (Clearwater, FL)
    …*Establishing production requirements for Examiners, and along with the Supervisor monitoring performance against the requirements. *Establishing and monitoring ... accuracy percentages. *Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and responses are… more
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  • Mount Sinai Hospital (New York, NY)
    …with appropriate corrections and documentation. 2. Works declines and processes appeals . 3. Ensures that established billing targets for collections, gross, days ... electronic and claims edits daily; summarizes and forwards non-workable edits to supervisor for resolution. 11. May process refunds for supervisory approval. 12.… more
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  • Owens & Minor, Inc. (Harrisburg, PA)
    appeals as necessary. Verifies payment information adjustments to supervisor . Coordinates collection activities for delinquent accounts by preparing information ... billing system. Brings recurring issues to the attention of the department supervisor . Initiates payments and resubmits bills as necessary. Pursues patient for… more
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  • NYULMC (Brooklyn, NY)
    …information to RN/LPN/Provider. Initiates and follows-up on pre-authorizations and appeals and arranges peer-to-peer communication when required Responsible for ... accurate and complete. Brings any problems or questions to supervisor attention. Performs other related duties as needed by...Performs other related duties as needed by providers and supervisor Patient Experience and Access: Serves as NYU Langone… more
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  • Waccamaw Dermatology, LLC (Myrtle Beach, SC)
    …and ensure that they are properly and closely monitored. Consults with supervisor or pharmacist to obtain clearance that treatment regimen is appropriate. Processes ... insurance companies, physicians and patients as required. Reveiws denials and submit appeals if requested by physician to get them approved from insurance companies.… more
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  • Shelter House (Fairfax, VA)
    …management for cases that demand higher level solutions. Facilitate the client appeals process as needed. Ensure client documentation is completed and maintained in ... and facilitate staff meetings and staff trainings as directed by supervisor Proficiently utilize Microsoft applications (email, calendar, drive, OneDrive, Share… more
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  • Durham County (Durham, NC)
    …program and functional processes. Work also includes the resolving of client appeals of actions taken by income maintenance caseworkers, the analysis of program-wide ... considerable effect on the client, and/or the agency. Position reports to a higher-level supervisor and review of work at this level is minimal. KNOWLEDGE, SKILLS &… more
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  • Legal Aid Chicago (Chicago, IL)
    …SSI and disability benefits issues with the Social Security Administration with appeals to Federal Court, if necessary The MLP staff attorney will collaborate ... applicants with previous work experience, at least one reference must be a former supervisor . Applications will be reviewed on a rolling basis, and the position will… more
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  • NYULMC (Las Vegas, NV)
    …insurance companies, follows up on denied claims and/or authorizations, and submits appeals as necessary. Job Responsibilities: Cross cover other areas in the office ... staff within the CBO with difficult and escalated issues. Assist department supervisor on special projects and staff training. Appeal complex denials through review… more
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  • Neighborhood Healthcare (Escondido, CA)
    …aging claims and denials, including claim tracers, corrected claim submissions, appeals , and consistent revenue flow Reviews and processes refunds and insurance ... Provides excellent customer service to patients and escalate issues to a supervisor , if needed Responds to site, insurance, and patient correspondences related to… more
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