- LA Care Health Plan (Los Angeles, CA)
- …Education Preferred Experience Required: At least 5 years of experience resolving health care eligibility, access, grievance and appeals issues, preferably in ... Manager, Customer Solution Center Appeals and Grievances Job Category: Customer Service Department:...(Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by… more
- Elevance Health (Woburn, MA)
- …you a check, or ask you for payment as part of consideration for employment. **Grievance/ Appeals Representative II** + Job Family: CLM > Claims Support + Type: ... 2024 + Reference: JR110934 **Location:** + Massachusetts, Woburn **Description** **Grievance/ Appeals Representative II** **Location:** Hybrid 500 Unicorn Park… more
- Providence (Irvine, CA)
- **Description** **Claims Appeals Representative \*Remote * Candidates in AK, WA, MT, OR, CA or TX are encouraged to apply.** The Appeal and Grievance Specialist ... hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New...New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing… more
- Trinity Health (Farmington Hills, MI)
- …**ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. ... working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health 's Integrity and Compliance Program and Code of Conduct, as well as… more
- MyFlorida (Orlando, FL)
- 811977 -OPS EMPLOYMENT SECURITY REP II - 40099083 1 1 1 Date: Apr 1, 2024 Location: ORLANDO, FL, US, 32809 The State Personnel System is an E-Verify employer. For ... 811977 Agency: Commerce Working Title: 811977 -OPS EMPLOYMENT SECURITY REP II - 40099083 1 1 1 Position Number:...are not available for this position) OPS Employment Security Representative II This position will be used for multiple… more
- MyFlorida (Tallahassee, FL)
- 828113 - OPS EMPLOYMENT SECURITY REP II - 40099084 1 1 1 1 1 Date: Apr 24, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify ... Agency: Commerce Working Title: 828113 - OPS EMPLOYMENT SECURITY REP II - 40099084 1 1 1 1 1...are not available for this position) OPS Employment Security Representative II This position will be used for multiple… more
- MyFlorida (Fort Lauderdale, FL)
- 827059 - OPS EMPLOYMENT SECURITY REP II - 40099086 1 1 1 1 1 Date: Apr 10, 2024 Location: FT LAUDERDALE, FL, US, 33311 The State Personnel System is an E-Verify ... Agency: Commerce Working Title: 827059 - OPS EMPLOYMENT SECURITY REP II - 40099086 1 1 1 1 1...are not available for this position) OPS Employment Security Representative II This position will be used for multiple… more
- Point32Health (Canton, MA)
- **Who We Are** Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our ... the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care,...Summary** Under the general direction of the VP, the Appeals and Grievances Director is responsible for management and… more
- Elevance Health (Topeka, KS)
- …opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for ... payment as part of consideration for employment. **Network Relations Consultant (LTSS Provider Rep )** + Job Family: PND > Provider Relationship Account Mgmt + Type:… more
- State of Indiana (Indianapolis, IN)
- Appeals Law Clerk Date Posted: Apr 19, 2024 Requisition ID: 442495 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of ... a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable… more
- Carle (Urbana, IL)
- Rev Cycle Regional Rep 2 + Department: Revenue Cycle - CFH_10_19 + Entity: Peoria Service Area + Job Category: Clerical/Admin + Employment Type: Full - Time + Job ... Save Save Apply Now Position Summary: Proficient in Revenue Cycle Regional Representative 1. Responsible for handling escalated account and payer issues. Handles… more
- Universal Health Services (Riverside, CA)
- …each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... and or mail out all assigned tracer claims 3. Initiate claims review or appeals , as indicated on assigned explanation of benefits. 4. Review, adjust and/or process… more
- Universal Health Services (Riverside, CA)
- …each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... errors, missing information, and billing discrepancies. + Prepare and submit appeals for denied claims, utilizing a comprehensive understanding of payer requirements… more
- Centers Plan for Healthy Living (Margate, FL)
- RN - Grievance and Appeals Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063, USA Req #461 Monday, April 1, 2024 Centers Plan for Healthy Living's goal is to ... Reviewer will handle expedited and standard requests and ensures that the appeals are processed in accordance with regulations, compliance standards and policy and… more
- Corewell Health (Stevensville, MI)
- …support in complex matters to assist in the delivery of quality health care services. Essential Functions + Responsible for complex patient/customer problem solving, ... that prior authorization has been obtained; assists with retroactive insurance denials/ appeals . + Responsible for complex EMR/EHR scanning and Right Fax faxing… more
- Corewell Health (Grand Rapids, MI)
- …support in complex matters to assist in the delivery of quality health care services. Essential Functions + Responsible for complex patient/customer problem solving, ... that prior authorization has been obtained; assists with retroactive insurance denials/ appeals . + Responsible for complex EMR/EHR scanning and Right Fax faxing… more
- HCA Healthcare (Dulles, VA)
- …Up Representative will process claim files for payment from Health plans and/or Third Party Payors: Workmen's Compensation, Automobile, Property and Casualty, ... opportunities as a Third Party Liability Insurance Follow Up Representative you want with your current employer? We have..., offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- University of Rochester (Rochester, NY)
- …information from the electronic medical record. Is accountable for planning, execution, appeals and efficient follow through on all aspects of the process which ... staffing to assist with overcoming any identified barriers or social determinants of health . Other duties as assigned **QUALIFICATIONS:** + High School Diploma and a… more
- Robert Half Accountemps (Los Angeles, CA)
- …PPO and Government insurance. Requirements Medical Billing, Medical Collections, Medical Appeals , Medical Denials, HMO - Health Maintenance Organization, PPO ... Description We are seeking a highly detail-oriented and reliable Patient Account Representative to join our Hospital. The successful candidate will be responsible… more
- MyFlorida (Tallahassee, FL)
- OPS EMPLOYMENT SECURITY REPRESENTATIVE I - 40099803 Date: Mar 28, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For ... . Requisition No: 826206 Agency: Commerce Working Title: OPS EMPLOYMENT SECURITY REPRESENTATIVE I - 40099803 Pay Plan: Temp Position Number: 40099803 Salary: $15.75… more