- Community Health Systems (Franklin, TN)
- **Job Summary** The Appeals Specialist II , under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for ... report trending. This position provides SSC and ancillary departments all payor updates regarding billing and coding updates/changes, completes timely and consistently reports project status SSC leadership and maintains confidentiality of data and information.… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC ... Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is responsible for assisting the Appeal and Grievances Compliance, Training… more
- Stanford Health Care (Palo Alto, CA)
- …as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, ... **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in...Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and denials. This position… more
- State of Colorado (Denver, CO)
- Benefits Specialist - Administrator II MHTLH Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5097180) Apply Benefits Specialist - ... at any time. This position is the centralized benefits specialist for the MHTL Homes and is responsible for...able to advocate on behalf of clients, including navigating appeals processes. + Interpersonal & Empathy Skills: A high… more
- State of Colorado (Denver, CO)
- Certified Therapeutic Recreation Specialist (CTRS) - Clinical Therapist II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5082555) Apply ... Therapeutic Recreation Specialist (CTRS) - Clinical Therapist II Salary $49,728.00 - $69,612.00 Annually Location Denver, CO...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Grand County, CO)
- Lead Highway Maintenance Specialist II - Winter Park ($1000/mo housing) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5089007) Apply ... Lead Highway Maintenance Specialist II - Winter Park ($1000/mo housing)...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/4963965) 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
- 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 (Adams County, CO)
- Youth Services Specialist II - Prairie Vista Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5093116) Apply Youth ... Services Specialist II - Prairie Vista Youth Services...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 Training Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances Location: Los ... to achieve that purpose. Job Summary The Customer Solution Center Training Specialist II is responsible for conducting functional training Customer Solution… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to… more
- Cedars-Sinai (Los Angeles, CA)
- …our care the most. **Req ID** : HRC1268782 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business Entity** : ... and provide back-up coverage. In this role you will effectively bill, submit appeals and collect monies relative to physician reimbursements. You will be in charge… more
- Beth Israel Lahey Health (Burlington, MA)
- …in order to determine appropriate coding and initiate corrected claims and appeals . Duties include hands on coding, documentation review and other coding needs ... the Billing Supervisor with the resolution of complex claims issues, denials and appeals . 16. Completes projects and research as assigned. 17. Provides feedback and… more
- University of Utah Health (Salt Lake City, UT)
- …+ Resolves clinical and/or authorization denials through CARC analysis and appeals - including clinical documentation review and coordination with UR and/or ... attending physician. + Acts as patient advocate in the resolution of balances. + Prepares and monitors high dollar spreadsheets and/or payer escalations spreadsheets, as assigned. + Escalates claim issues internally to other key departments including Coding,… more
- The County of Los Angeles (Los Angeles, CA)
- …I Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services Assistant I ... II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services Assistant I Financial … more
- LA Care Health Plan (Los Angeles, CA)
- …dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist .; submit all Grievances and Appeals response letters to ... safety net required to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all… more
- MyFlorida (Tallahassee, FL)
- …The Work You Will Do: This is an OPS Employment Security Representative II - Employment Review Specialist position in the Department of Commerce's Reemployment ... 857093 - OPS EMPLOYMENT SECURITY REP II - 40099084 1 1 1 1 1...from claimants and employers or the Office of RA Appeals and the Reemployment Assistance Appeals Commission.… more
- The County of Los Angeles (Los Angeles, CA)
- …I Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services Assistant I ... ADMINISTRATIVE ASSISTANT II /CORRECTIONAL HEALTH Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4912318) Apply ADMINISTRATIVE ASSISTANT II… more
- State of Colorado (CO)
- CPW Program Assistant II - Terrestrial Wildlife Branch - Denver, CO Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5085915) Apply CPW Program ... Assistant II - Terrestrial Wildlife Branch - Denver, CO Salary...It is recommended that you contact the Human Resources Specialist listed below to resolve issues related to your… more