- MedImpact Healthcare Systems, Inc. (San Diego, CA)
- A healthcare solutions provider in San Diego is seeking an Appeals & Grievances Implementation Specialist . This role involves coordinating client ... implementations, maintaining business processes, and serving as a liaison with clients. Ideal candidates will have a BS/BA and at least 3 years of relevant experience, along with strong interpersonal and customer service skills. Join us to help enhance… more
- MedImpact Healthcare Systems, Inc. (San Diego, CA)
- …We are the premier Pharmacy Benefits Management solution!# **Job Description Summary**The Appeals & Grievances Implementation Specialist reports to the ... adhering to operational guidance at the direction of the Appeals & Grievances Supervisor and in collaboration with the...This position is responsible for: 1) Implementation of new Appeals and Grievances clients; 2) Maintenance of Business for… more
- Commonwealth of Massachusetts (Boston, MA)
- A government agency in Boston seeks a Public Records Specialist to manage administrative appeals and support the enforcement of the Massachusetts Public Records ... Law. Responsibilities include drafting determinations, coordinating with legal teams, and facilitating training sessions. Candidates should have strong organizational and writing skills, with a background in legal or administrative roles being a plus.… more
- Commonwealth Museum (Boston, MA)
- An office in Massachusetts is seeking a Public Records Specialist to manage a caseload of appeals under the Public Records Law. This role involves coordinating ... with legal teams and administrative duties within a fast-paced environment. Candidates should possess strong organizational and time management skills. The position offers a comprehensive benefits package including medical insurance, dental and vision plans,… more
- CSUDH Foundation (Los Angeles, CA)
- …military status, in any of activities or operations. Appeals - Hearing Officer ( Appeals Hearing Specialist ) Location: Los Angeles CA - 100% onsite, no remote ... for all families certified. The position performs research, and a review of appeals matters and works with staff and families to determine program compliance as… more
- Commonwealth of Massachusetts (Boston, MA)
- A state government office in Boston is seeking a Public Records Specialist to assist in administering the Massachusetts Public Records Law. The role includes ... managing appeals and providing support to legal staff. Candidates should excel in organization, communication, and managing multiple tasks. The position offers a… more
- Commonwealth Museum (Boston, MA)
- …the Commonwealth of Massachusetts is seeking candidates for a Public Records Specialist with the Public Records Division. The Public Records Division (Division) ... of Records (Supervisor), the Division processes and issues determinations on appeals from requestors denied access to government records; responds to questions… more
- Lucence Health Inc. (Palo Alto, CA)
- LocationPalo Alto, United StatesJobs at Lucence# Senior Medical Billing Specialist at LucenceLocationPalo Alto, United StatesSalary$35 - $45 /hourJob ... so patients can live longer and healthier lives. As a **Senior Medical Billing Specialist **, you play a vital role in that mission. You will ensure that our… more
- Greenberg, Traurig, PA (San Francisco, CA)
- Legal Support Specialist page is loaded## Legal Support Specialistremote type: Hybridlocations: San Franciscotime type: Full timeposted on: Posted 16 Days Agojob ... an innovative and collaborative environment.**Join our Litigation Team as a Legal Support Specialist located in our San Francisco office.** This role will be based… more
- Onco360 Oncology Pharmacy (Seattle, WA)
- Overview Position: Pharmacy Prior Authorization Specialist Location: Woodridge, IL Job Id: 4320 # of Openings: 1 Come join our company! Our Onco360 Pharmacy has an ... short and long-term disability Responsibilities The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires… more
- Commonwealth of Massachusetts (Boston, MA)
- …quasi‑judicial board, one serving as Chairman, that has jurisdiction to hear appeals of unemployment insurance claims and other unemployment matters before a case ... as the final administrative tribunal prior to the courts; Rendering decisions on appeals of claimants and employers from decisions of the Commissioner allowing or… more
- BrightPath LLC (St. Paul, MN)
- …(Hybrid) Schedule: Monday-Friday Reports to: COO Direct Report: Billing-Accounting Specialist Job Type: Full-Time, Exempt Base Salary: $90,000-$120,000 Bonus: 10-15% ... contrals, and financial operations. This role also supervises the Billing-Accounting Specialist and build the infrastructure needed to support BrightPath's growth.… more
- Young World Physical Education (Boston, MA)
- …and execute fundraising campaigns, including online giving initiatives, direct mail appeals , and peer-to-peer fundraising. Plan and manage fundraising events such as ... messaging and brand identity. Supervise the Digital Media & Communications Specialist , providing guidance on content creation, visual storytelling, and social media… more
- CNA (Seattle, WA)
- …Early engagement with agents for any adverse underwriting decisions, rate appeals or declinations.* Portfolio Management & Collaboration. Drives top & bottom-line ... be hired into one of two Underwriter positions: Underwriting Specialist or Underwriting Consultant. Typically, 3-10+ years of related experience.#LI-Hybrid#LI-MA1*In… more
- New River Community College (Lancaster, CA)
- …aid; provides professional judgment by approving or denying student appeals regarding additional funding, academic progress, and special circumstances. Oversees ... Placement staff, including but not limited to Technical Analyst, Financial Aid Specialist , Financial Aid Technician II, Financial Aid Technician I, Financial Aid… more
- ROME GROUP (St. Louis, MO)
- …development efforts, including corporate and foundation giving, individual giving, annual appeals and campaigns, and special events. The Managing Director works ... Pro: Meets or exceeds goals with accountability and creativity. Tech Specialist : Proficient in digital fundraising platforms (i., DonorSnap, Bloomerang, Blackbaud,… more
- BJC HealthCare (St. Louis, MO)
- …work experience) **Additional Information About the Role** BJC HealthCare is seeking a Clinical Appeals Specialist to assist with infusion appeals for both ... Responsible for resolving clinical denials for BJC hospitals and payors. The Clinical Appeals Specialist must be able to multi-task and maintain a high level of… more
- HCA Healthcare (Brentwood, TN)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking an Appeals Specialist for our team to ensure that we continue to ... do. We want you to apply! **Job Summary and Qualifications** The Appeals Specialist will be responsible for performing end-to-end tasks for technical appeals… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Appeals Specialist I is responsible for the initial analysis of appeals and grievance correspondence, and ... without breaching confidentiality of medical information. + Assists Supervisor and Appeals Specialist II and III with unit projects and other duties related… more
- TEKsystems (Addison, TX)
- …terminology,medical biller,anesthesia Additional Skills & Qualifications - Proven experience as an Appeals Specialist or in a similar role within a healthcare ... reimbursement issues to identify the root causes. - Initiate and manage the appeals and arbitration process for denied or underpaid claims, ensuring timely and… more
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