- The County of Los Angeles (Los Angeles, CA)
- …to: Accountant I Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services ... I Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services Assistant… more
- CenterLight Health System (NY)
- JOB PURPOSE: The Claim Appeals and Audit Specialist will play a pivotal role in enhancing the efficiency and effectiveness of the claims department by timely and ... accurate processing of claims appeals and performing claims audit, ensuring payment integrity and...etc., and type/write documentation, etc. with accuracy. + Audio Hearing and Motor Skills (Language) Requirements - Must be… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding ... are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or...record and abstracting of patient information. Corrected vision and hearing to within normal range. Hearing as… more
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA- Appeals & Grievances **Position Summary:** Appeals and Grievances Program Advisor monitors and supports the operations and compliance of the ... Appeals and Grievances department through many NCQA and other...NCQA requirements. + Coordinate BOH hearings with external State Hearing Board + Help with preparation of NCQA audit… more
- Molina Healthcare (Tacoma, WA)
- **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance ... standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals… more
- State of Maine, Bureau of Human Resources (ME)
- …throughout the licensing and renewal process; o Participate in the appeals hearing process; A Child Care Licensing Specialist does professional services work ... Child Care Licensing Specialist Maine, USA | Community & Social Services...home position. Core Responsibilities: As a Child Care Licensing Specialist , you will be working in Children's Licensing and… more
- State of Colorado (Denver, CO)
- ECMC Enforcement Advisor (Compliance Specialist IV) - Remote/Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4887965) Apply ECMC ... Enforcement Advisor (Compliance Specialist IV) - Remote/Hybrid Salary $68,100.00 - $91,200.00 Annually Location Denver Metro, CO Job Type Full Time Job Number PHA… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a ... in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the...may be required to defend appeal in a payer hearing or clinical meeting when indicated. The Denial Mitigation-Appeal… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a ... in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the...may be required to defend appeal in a payer hearing or clinical meeting when indicated. The Denial Mitigation-Appeal… more
- State of Colorado (Jackson County, CO)
- Highway Maintenance Specialist - Walden (CDL Training Provided) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4872620) Apply Highway ... Maintenance Specialist - Walden (CDL Training Provided) Salary $52,356.00 -...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Eagle County, CO)
- Highway Maintenance Specialist - Eagle County (CDL Required) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4845530) Apply Highway ... Maintenance Specialist - Eagle County (CDL Required) Salary $76,356.00 -...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Rio Blanco County, CO)
- Highway Maintenance Specialist - Meeker/I-70 Corridor (CDL Required) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4932781) Apply Highway ... Maintenance Specialist - Meeker/I-70 Corridor (CDL Required) Salary $52,356.00 -...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- Employee Relations Specialist (HR Specialist IV) - Metro Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4948842) Apply Employee ... Relations Specialist (HR Specialist IV) - Metro Denver...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Clark County, NV (Las Vegas, NV)
- VIDEO PRODUCTION SPECIALIST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4925934) Apply VIDEO PRODUCTION SPECIALIST Salary $26.05 - ... video production professional to apply for the Video Production Specialist . The ideal candidate is a strong visual storyteller,...100 pounds, ascend and descend ladders and stairs, and hearing and speech to communicate in person, over the… more
- State of Colorado (Denver, CO)
- Environmental Protection Specialist I, Hazardous Materials - Denver Metro Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4951471) Apply ... Environmental Protection Specialist I, Hazardous Materials - Denver Metro Salary $65,736.00...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Golden, CO)
- Electronics Specialist II - Golden Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4944448) Apply Electronics Specialist II - Golden ... Node Sites across the State. About the Position The Electronics Specialist position will be inspecting, troubleshooting, maintaining, and documenting fiber-optic and… more
- Clark County, NV (Las Vegas, NV)
- PTH FAMILY SERVICES SPECIALIST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4946012) Apply PTH FAMILY SERVICES SPECIALIST Salary ... Family Services is accepting applications for Part-Time Family Services Specialist with experience working in a Child Welfare setting....to read printed materials and a computer screen; and hearing and speech to communicate in person or over… more
- Clark County, NV (Las Vegas, NV)
- MITIGATION SPECIALIST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4931451) Apply MITIGATION SPECIALIST Salary $32.74 - $50.81 ... is seeking qualified candidates to apply for the Mitigation Specialist position. As a member of our team, you...to read printed materials and a computer screen; and hearing and speech to communicate in person or over… more
- State of Colorado (Lake County, CO)
- Lead Highway Maintenance Specialist , Twin Lakes Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4781776) Apply Lead Highway Maintenance ... Specialist , Twin Lakes Salary $63,708.00 - $69,468.00 Annually Location...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Scottish Rite for Children (Dallas, TX)
- …committed to giving children back their childhood! Job Posting Title: Denials Specialist Location: Dallas - Hospital Additional Posting Details: Monday - Friday 8:00 ... payor. This includes online reconsiderations. + Follow specific payer guidelines for appeals submission + Escalate exhausted appeal efforts for resolution + Research… more