- Molina Healthcare (West Valley City, UT)
- …**Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances , and/or complaints from Molina members, providers, ... that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Molina Healthcare (West Valley City, UT)
- …+ Responsible for the comprehensive research and resolution of the appeals , dispute, grievances , and/or complaints from Molina members, providers ... that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. +… more
- Molina Healthcare (Salt Lake City, UT)
- …with research. * Determines appropriate language for letters and prepares responses to member appeals and grievances . * Elevates appropriate appeals to the ... in an efficient and timely manner. * Creates and/or maintains appeals and grievances related statistics and reporting. * Collaborates with provider and member… more
- Molina Healthcare (Salt Lake City, UT)
- …* At least 2 years of managed care experience in a call center, appeals , and/or claims environment, or equivalent combination of relevant education and experience. * ... and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and… more
- Salt Lake County (Salt Lake City, UT)
- …utilizing objective jail classification principles. + Respond to detainee requests, grievances , and appeals . KNOWLEDGE, SKILLS, AND ABILITIES (KSA) Knowledge ... Job Description Judicial Processing Specialist $40,699.00- $58,380.00 DOE** +$1 per hour worked...correctional facility until their time of release. Judicial Processing Specialist provides a critical service within the Criminal Justice… more