- Tutor Perini (Fresno, CA)
- …$175,000 depending on experience.** Tutor Perini Corporation is seeking a **Lead Safety Manager ** to join our Project in Fresno, CA. **About Tutor Perini:** Tutor ... Tutor Perini Corporation is looking for a Lead Safety Manager to manage the Health and Safety of the...insurance inspectors on walk through tours. + Prepare written appeals for safety violation citations. + Additional assignments on… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- Field Reimbursement Manager Overview: The Field Reimbursement Manager is part of the Market Access group supporting Suns family of branded products in the United ... and reimbursement dynamic within payer channels. Job Scope The Field Reimbursement Manager will execute local market plans to support field based priorities. This… more
- Ralliant (Albany, NY)
- **Job Title:** Product Manager **Location:** Remote, USA **Job Summary:** As a key contributor within Hengstler-Dynapar, the **Product Manager ** will guide the ... aligns with the company's business objectives while collaborating cross-functionally. The Product Manager will work closely with all functions within our company to… more
- PedIM Healthcare (Crystal River, FL)
- …claims to payers promptly. Follow up on unpaid or denied claims and handle appeals as needed. Work with patients to address billing inquiries and provide assistance ... This is NOT a remote position. This position reports to the Billing Manager . The schedule is M-F, 8:30AM-5:00PM. Apply today Apply at www.pedimhealthcare.com (click… more
- Southland Industries (Santa Barbara, CA)
- …Plumbing and Fire Protection industry. Primary responsibility is to assist a design manager or project manager to successfully coordinate a project using the ... and potential career paths with one of the country's largest MEP building systems firms appeals to you and you're ready for the next big step in your career, then… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …is subject to renewal by 03/31/2026** JOB SUMMARY: Under the direction of the Manager , Professional Billing & Coding, the Billing & Collections Rep I is responsible ... for pulling medical records to submit with claims and appeals as required by payors. Responsible to validate and...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …2 years of experience - hospital billing, processing claim edits, denials, appeals and managing accounts receivable. Experience with Epic Resolute Hospital Billing ... CHFP (Certified Healthcare Financial Professional) CPAM (Certified Patient Account Manager ) CPAT (Certified Patient Account Tech) **The current salary range… more
- Florida Atlantic University (Boca Raton, FL)
- …and staff in Housing and Residential Education. + Process assignments, appeals , cancellations, and assignment change requests for West Campus (first-year housing), ... comments, and complaints. + Serve as the backup to the Office Manager Specialist, assisting with answering phones and addressing in-person inquiries as needed.… more
- BronxCare Health System (Bronx, NY)
- Overview The Appeals Manager is responsible to assist in the analysis and preparation of response to denial notification letters that arrive in letter and ... to best respond to all hospital denials notification and documentation efforts. The Appeals Manager will provide timely tracking and trending of all denials and … more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: Los ... the safety net required to achieve that purpose. Job Summary The Manager , Appeals & Grievances (A&G) & General Operations (Clinical) is responsible for the… more
- BronxCare Health System (Bronx, NY)
- …the analysis and preparation of responses to payor denials and develop strong appeals for the purpose of securing reimbursement for acute care services provided to ... identification of patterns and trends identified during the course of appeals preparation. Conduct departmental performance improvement audits, analyze findings and… more
- CVS Health (Baton Rouge, LA)
- …Summary** Coordinate effective resolution of member and/or provider/practitioner appeals , complaints and grievances. Responsible for the day-to-day management ... of staff to ensure effective resolution of member or provider/practitioner appeals , complaints and grievances for all products, which may contain multiple issues… more
- FirstEnergy (Akron, OH)
- …automation or AI where appropriate), strengthen controls and procedures, and handle audits and appeals . The Manager will report to the Director, Tax Planning and ... with FirstEnergy Service Company, a subsidiary of FirstEnergy Corp. The Manager , General Taxes, is responsible for compliance, accounting, forecasting, and planning… more
- Hawaiian Electric (Honolulu, HI)
- …working on all aspects of litigation matters from case inception to judgment and appeals . Role: Manager Number of Vacancies: 1 Location: Honolulu - Oahu Hiring ... LEGAL Division at Hawaiian Electric Company has 1 Management vacancy available. (Role: Manager ) This posting seeks to fill at either the Associate General Counsel or… more
- Garnet Health (Middletown, NY)
- …for the day to day operation of the CDI department and DRG Denials appeals process. The Manager will develop, implement and evaluate processes, policies and ... Administrator, Coding & Clinical Documentation Improvement and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible… more
- The County of Los Angeles (Los Angeles, CA)
- …quality assessment and assurance monitoring processes; and handle informal complainant appeals . Health Facilities Program Manager , Nursing positions are required ... HEALTH FACILITIES PROGRAM MANAGER , NURSING Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4626091) Apply HEALTH FACILITIES PROGRAM MANAGER… more
- University of Washington (Seattle, WA)
- …Patient Financial Services Department** has an outstanding opportunity for a **Clinical Appeals and Disputes Nurse.** **WORK SCHEDULE** + 100% FTE + 100% Remote ... + Days **POSITION HIGHLIGHTS** The Clinical Appeals and Disputes Nurse ensures that payers are prepared to reimburse the UW Medicine for services in accordance with… more
- Elevance Health (Mason, OH)
- **Nurse Appeals -Licensed Nurse** **Location** : Ohio, candidates must be residents of Ohio to be considered. **Hybrid 1** : This role requires associates to be ... and is dependent on court hearing schedules. The Nurse Appeals is responsible for investigating and processing and medical...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Columbus, OH)
- **Nurse Appeals RN** **Location** : Ohio-Cincinnati, Columbus, Mason, or Seven Fields _(Must be within commutable distance to the listed locations.)_ **Virtual:** ... accommodation is granted as required by law._ The **Nurse Appeals ** is responsible for investigating and processing and medical...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Cerritos, CA)
- **Title: Grievance/ Appeals Analyst I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law._ The **Grievance/ Appeals Analyst I** is an entry level position in...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
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