- Universities of Wisconsin (Whitewater, WI)
- …through the internal application process. Position Title: Assignments and Billing Coordinator Job Category: Academic Staff Employment Type: Regular Job Profile: ... Housing Coordinator II Job Duties: The Assignments and Billing ...complicated and sensitive housing-related issues, policy questions, requests, and appeals , including matters related to student resident disabilities and… more
- The Crucible (Oakland, CA)
- …HR generalist, administrative support specialist, full-charge bookkeeper or purchasing coordinator . Intermediate to advanced proficiency with QuickBooks or similar ... include why you would be a good fit, what you'd bring to The Crucible and what appeals to you about this position. Due to the size of our team and the physical… more
- 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
- Banner Health (AZ)
- **Department Name:** Grievances & Appeals **Work Shift:** Day **Job Category:** General Operations **Estimated Pay Range:** $20.01 - $30.01 / hour, based on ... innovation to employment settings by including remote and hybrid opportunities. ** Appeals and Grievances Management** + Review, research, investigate, and resolve… more
- Centene Corporation (Raleigh, NC)
- …Must Reside in North Carolina **2+ years of healthcare grievance or appeals , claims, managed care experience, or relevant experience.** **Position Purpose:** Analyze ... and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. + Gather, analyze and report… more
- Nuvance Health (Danbury, CT)
- …Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors (PAs) and other stakeholders in ensuring ... role is instrumental in liaising with all above parties to submit provider appeals to insurance companies including Medicare and Medicaid for the Nuvance Health… more
- TEKsystems (Long Beach, CA)
- …current and additional information as it relates to Grievances and Appeals services. Utilizes department desktop procedures, workflows, job aids and training ... High School Diploma, Required 2 years of experience within grievances and appeals in a healthcare setting Experience Level Expert Level #westpriority25 Pay and… more
- AmeriHealth Caritas (Philadelphia, PA)
- …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
- CVS Health (WV)
- …from multiple business units. Ensure timely, customer focused response to complaints/ appeals . Identify trends and emerging issues and report and recommend solutions. ... **Shift:** Monday through Friday, 8:00am - 5:00pm Eastern Time **Location:** WFH - This position can be anywhere in the United States but must be willing to work eastern time schedule. **Required Qualifications** + 1 year experience that includes both HMO and… more
- University of Washington (Seattle, WA)
- …products to staff, faculty, students, departments and outside agencies and processes citation appeals and payments. The Program Coordinator for Sales will assist ... Administration group. **We have an outstanding opportunity for a Program Coordinator , Sales.** The Transportation Services Sales & Administration (S&A) Office issues… more
- University of Michigan (Ann Arbor, MI)
- Clinical Denials Prevention & Appeals Specialist Apply Now **Job Summary** The Clinical Denials Prevention & Appeals Specialist role is entirely remote. The ... Clinical Denials Prevention & Appeals Specialist plays a critical role in optimizing the...their meticulous work + Collaborate with leadership and CDI Coordinator to conduct new-hire training and orientation. **Required Qualifications… more
- CommonSpirit Health (Englewood, CO)
- …are seeking a highly skilled individual to develop and submit clinical appeals , expertly crafting physician-aligned letters based on federal and state regulations, ... audit-ready case files with denial rationales and P2P documentation, ensuring successful appeals across all levels (1-5), including IRO and ALJ reviews, utilizing… more
- Ellis Medicine (Schenectady, NY)
- …the chart to fax or send for insurance denials or quality improvement organization appeals . + Assists UM Coordinator with data entry of insurance authorizations ... and denials. + Denial Management Activities + Assists Denial Management staff with clerical support; including facilitating MD to MD reviews. + Performs audit activities under the supervision of the Director of Case Management and Social Work Services. Ellis… more
- Clark County, NV (Las Vegas, NV)
- ESTATE COORDINATOR I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/5095448) Apply ESTATE COORDINATOR I/II Salary $28.15 - $44.84 ... is seeking qualified candidates to apply for the Estate Coordinator I/II position. As a member of the team,...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
- Montana State University (Bozeman, MT)
- …Classification Title Program Coord II Working Title Customer Experience Coordinator Brief Position Overview MSU Parking and Transportation Services seeks ... will perform all customer service duties, coordinate the unit's citation appeals process, and provide administrative support. Performs of customer service functions… more
- State of Colorado (Colorado Springs, CO)
- Special Education Site Coordinator - Spring Creek Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5099396) Apply Special ... Education Site Coordinator - Spring Creek Youth Services Center Salary $2,889.69...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Elderwood (Waverly, NY)
- Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/RN MDS Coordinator ... updates as requested by Insurance Companies, handles Third Party appeals , peer to peers as applicable and with clinical...and with clinical oversight provided by the LPN/RN MDS Coordinator . Attends team meetings at the discretion of the… more
- University of Colorado (Denver, CO)
- **Global Education Coordinator ** **University of Colorado Denver** Global Education Coordinator -37821 University Staff **Description** **Position Details** ... **Official Title: Academic Services Intermediate Professional** **Working Title: Global Education Coordinator ** **FTE: Full Time 1.0 (100%) FTE | Hybrid** **Salary… more
- Genesis Healthcare (PA)
- …Clinicians in Action professional development program. Responsibilities The Reimbursement Coordinator assists the Powerback denial management team gathering records ... recorded for appeal. Manages assigned workload to ensure that appeals are submitted timely. * Files all patient data...all denials from NetHealth, PCC (or other system) for appeals . * Ensures all required documentation has been received… more
- State of Colorado (Pueblo, CO)
- Nurse I - ECT & Outpatient Coordinator - CMHHIP Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5094633) Apply Nurse I - ECT & Outpatient ... Coordinator - CMHHIP Salary $43.80 - $61.31 Hourly Location...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
