- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Qualifications Please clickHERE (https://ulsuno.wd1.myworkdayjobs.com/en-US/UniversityOfNewOrleans/job/Baton-Rouge-La/OAAS-LT-PCS- Appeals Coordinator ... OAAS LT-PCS Appeals - Coordinator 1 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4677715) OAAS LT-PCS Appeals - Coordinator 1… more
- Banner Health (Tucson, AZ)
- …by including remote and hybrid opportunities. In the role of Senior Grievance & Appeals Coordinator , you will utilize your expertise in Grievance & Appeals ... **Primary City/State:** Arizona, Arizona **Department Name:** Grievances & Appeals **Work Shift:** Day **Job Category:** General Operations Great careers are built… more
- Elevance Health (Atlanta, GA)
- **Grievance & Appeals Coordinator ** **Location** : This is a fully remote role. Candidates must reside in the state of **Georgia** to be considered. Ideal ... location in Atlanta, Augusta, Savannah and/or Columbus, GA. The **Grievance & Appeals Coordinator ** is responsible for investigating and reviewing customer… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Grievance and Appeals Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #660 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to ... SUMMARY: As an integral part of the Grievance and Appeals (G&A) Department, the G&A Coordinator lends their support in processing member-related grievances and … more
- Apex Health Solutions (Houston, TX)
- Job Title: Appeals & Grievances Coordinator Department: Appeals and Grievances Supervisor: Manager, Appeals & Grievances FLSA Status: Nonexempt Summary ... The Appeals and Grievances coordinator position is focused on the processing of customer...a commitment to the Continuous Quality Improvement Process. The Appeals & Grievance Coordinator will interact on… more
- Apex Health Solutions (Houston, TX)
- Summary: The Appeals and Grievances coordinator , Senior position, is focused on the processing of customer and provider Medicare and Commercial appeals and ... and a commitment to the Continuous Quality Improvement Process. The Appeals & Grievance Coordinator , Senior, will interact on a daily basis with the Customer… more
- Generac Power Systems (Waukesha, WI)
- …technology solutions company, we continue to push new boundaries. **Job Description:** The ** Appeals and Grievances Coordinator ** is a critical team player who ... under general supervision with some guidance from leadership and higher-level Appeals and Grievances Specialists. **Job Responsibilities:** + Perform a variety of… more
- Health First (Rockledge, FL)
- …Insurance)* **Organization:** **HF Administrative Plan Inc* **Title:** *HFHP Appeal /Grievance Coordinator - Member Appeals Grievances* **Location:** *Florida - ... Brevard County-Rockledge* **Requisition ID:** *075564* more
- University of Virginia (Haymarket, VA)
- …+ Follow the appropriate payor procedures for initiating reviews, reconsiderations and/or appeals . + Follow-up with the payors to assure our requests are responded ... EPIC based functionality to document root causes, reflect current status within the appeals process to assure our internal customers know at a glance the current… more
- ManpowerGroup (Rancho Cucamonga, CA)
- **Title: Temporary Coordinator - Grievance and Appeals ** **Location:** **Rancho Cucamonga California 91730 (Hybrid)** **Schedule: Telecommute (once or twice a ... **Pay Range $20.00 to $23.98/hr.** We are looking for a "Temporary Coordinator - Grievance and Appeals " to join one of our Fortune 500 clients. This is a… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical, operations, pharmacy, dental, reporting, and member services. - Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in ... **Why This Role is Important to Us:** Appeals and Grievances Representative supports the Operations Department...and Grievances Representative supports the Operations Department and the Appeals and Grievances team in a number of ways… more
- CVS Health (Harrisburg, PA)
- …issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from ... outside plan sponsors or regulators. + Research and resolves incoming electronic appeals as appropriate as a "single-point-of-contact" based on type of appeal. +… more
- CVS Health (Frankfort, KY)
- …affordable. **Position Summary** Responsible for managing to resolution of Fast Track Appeals for Medicare products, which may contain multiple issues and, may ... issues and report and recommend solutions. Research incoming Medicare Fast Track appeals to identify if appropriate for unit based upon published business… more
- CVS Health (Denver, CO)
- …from multiple business units. Ensure timely, customer focused response to complaints/ appeals . Identify trends and emerging issues and report and recommend solutions. ... This position can be anywhere in the United States. **Required Qualifications** 1 year experience that includes both HMO and Traditional claim platforms, products, and benefits, patient management, product, compliance and regulatory analysis, special… more
- Crossroads Hospice & Palliative Care (Akron, OH)
- …and backgrounds + Problem-solving skills to research and resolve discrepancies, denials, appeals , collections Billing Coordinator Schedule & Benefits: + Monday ... we can create lasting impacts that transcend medical treatment. Billing Coordinator Responsibilities: + Obtain referrals and pre-authorizations as required for… more
- Louisiana Department of State Civil Service (Shreveport, LA)
- …Studies and the Department of Leadership Studies regarding student concerns, complaints, appeals , and records. The Coordinator may attend the University Graduate ... Graduate Coordinator (Leadership Studies) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4731796) Apply Graduate Coordinator (Leadership… more
- TEKsystems (Jackson, MS)
- Revenue Cycle/ Appeals Specialist Needed Description: 100% Remote Equipment Provided The Appeals Specialist 1, under the direction of the Director of Denial ... insurance denials, correlating with the follow-up teams. -Works closely with Denial Coordinator , Facility Denial Liaison, and Managed Care Coordinator for… more
- University of Utah (Salt Lake City, UT)
- …PRN40045B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA Code** Nonexempt **Patient ... of revenue cycle. + Working knowledge of insurance denials, appeals and expected reimbursement rates. + Experience presenting findings...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- Colorado State University (Fort Collins, CO)
- …professional judgment appeals made in accordance with federal guidelines. The Coordinator for Student Eligibility is expected to serve as the subject matter ... academic goals, and graduate in a timely manner. Position Summary The Coordinator for Student Eligibility reports to the Assistant Director for Student Eligibility… more
- Medical Mutual of Ohio (OH)
- …D experience is highly sought after._** **Responsibilities** **Medicare Pharmacy Coordinator I** Working under general supervision, administers standardized to ... outbound calls to members, providers, and pharmacies to initiate coverage determinations/ appeals , prescription refills, and switch members to lower cost therapeutic… more