- Compass Health Network (Raymore, MO)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our...clinics and regions, time traveled will be coordinated by Supervisor May receive Admin Time off, if all providers… more
- Compass Health Network (Sullivan, MO)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our...clinics and regions, time traveled will be coordinated by Supervisor May receive Admin Time off, if all providers… more
- Compass Health Network (Arnold, MO)
- …interest you, if running a Medication Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" ... our clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our...clinics and regions, time traveled will be coordinated by Supervisor .May receive Admin Time off, if all providers are… more
- Guidehouse (Birmingham, AL)
- …to Insurance Companies to resolve claim denials and account balances. + Performing Non- Clinical Appeals + Assisting Supervisor /Manager as needed with various ... projects. + Escalate payer issues/trends to a supervisor with the appropriate information or take appropriate action...+ 0-2 years medical provider experience working with UB04, appeals & denials. **What Would Be Nice to Have**… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... support the safety net required to achieve that purpose. Job Summary The Supervisor of Appeals and Grievances Clinical Operations (A&G) RN is responsible for… more
- Centene Corporation (Sacramento, CA)
- …be located in California - occasional in-office meetings.** **Position Purpose:** The Supervisor of Appeals & Grievances is accountable for the recruitment, ... + Performs recruiting, hiring, promotion, and performance evaluation tasks and counsels non- clinical Grievance and Appeals staff. + Orients and trains new… more
- Penn Medicine (Philadelphia, PA)
- …your life's work? **Summary:** Responsible for coordinating office activities for the Clinical Appeals Coordinators to assist the department in accomplishing the ... and responds with respect to directions and recommendations from supervisor . + Supports ongoing improvement of client satisfaction: +...continuity of communication. + Supports the activities of the Clinical Appeals Coordinator in all phases of… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... and executes the appeal process for all AHS facilities clinical appeals and third party audits. **DUTIES...Initiates the appeal process, at the direction of the Supervisor and/or physician advisors, until the case is overturned,… more
- Glens Falls Hospital (Glens Falls, NY)
- …**Job:** **Allied Health - Health Information Management* **Title:** *Coding Reimbursement Appeals Supervisor - Health Information Management (HIM) * ... but with emphasis on Inpatient Coding. Collaborates with Professional Coders, Clinical Document Improvement Specialists, "Scrubber" Edit Specialists and Providers to… more
- Trinity Health (Farmington Hills, MI)
- …location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials). Serves as part of the Payment Resolution team at an assigned ... variances from expected reimbursement, and resolving or escalating issues to the Supervisor Payment Resolution for resolution. This position reports directly to the … more
- Trinity Health (Farmington Hills, MI)
- …location. The scope of responsibility will be all post-billed denials (inclusive of clinical denials). Serves as part of a team of payment resolution colleagues at ... received on denied accounts, and resolving or escalating issues to the Supervisor Payment Resolution Supervisor for resolution. Provides training and guidance… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials/ appeals experience (Medical A/R) + Hospital/facility collections experience Description: Responsible for A/R, ... correspondence, on underpaid, or non-paid balances. * Refers accounts to Supervisor /Manager, or CBO Director for write-off consideration, agency or attorney… more
- CVS Health (Tallahassee, FL)
- …in accordance with policies and procedures, under the supervision of the Clinical Supervisor . Responsible for reviewing and maintaining compliance with ERISA, ... more personal, convenient and affordable. Position Summary- Cdr I Prior Auth & Appeals will be responsible for performing non- clinical activities and functions… more
- State of Colorado (Chaffee County, CO)
- …(Social Worker/Counselor IV) - Mental Health Supervisor - (Buena Vista, Chaffee County) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4484316) ... Apply CDOC (Social Worker/Counselor IV) - Mental Health Supervisor - (Buena Vista, Chaffee County) Salary $6,881.00 - $9,633.00 Monthly Location Chaffee County, CO… more
- State of Colorado (Denver, CO)
- Behavioral Health Supervisor - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4479953) Apply Behavioral Health Supervisor - Denver ... Number CAA HP V 8317 5/2024 Department Department of Corrections Division Clinical and Correctional Services Opening Date 05/02/2024 Closing Date 5/16/2024 4:00 PM… more
- State of Colorado (CO)
- …for a smaller clinic, a shift within a larger complex facility, or a supervisor in a specialized clinical treatment unit. This position may be required ... CDOC Nurse Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4383689) Apply CDOC Nurse Supervisor Salary $7,965.00 Monthly… more
- State of Colorado (Pueblo, CO)
- Data Management III - Clinical Applications Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4481108) Apply Data Management III - ... Clinical Applications Analyst Salary $58,836.00 - $76,488.00 Annually Location...of the primary health systems, per assignments from the supervisor . Requests for data extracts and analyses by customer… more
- Universal Health Services (Shippensburg, PA)
- …Clininical Supervisor - Social Work/Utilization Management Roxbury is currently hiring a Clinical Supervisor to oversee the clinical programs in our ... operational leader position reporting directly to the Director of Clinical Services. The Clinical Supervisor ,...Office to assure payment of treatment stays and timely appeals of denied cases. This individual serves as a… more
- The Cigna Group (Bloomfield, CT)
- …, administrative and regulatory criteria for reviewing and making decisions on all non- clinical appeals and validating the accuracy of all received information + ... appeals and related issues, implications and decisions. The Appeals Reviewer reports to the Supervisor /Manager of...of the appeal. + Make an appropriate administrative and clinical determinations as to whether the appeal should be… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... the safety net required to achieve that purpose. Job Summary The Supervisor , Authorization Technician supports the Utilization Management (UM) Specialist by handling… more
