- BroadPath Healthcare Solutions (Tucson, AZ)
- …BroadPath is excited to announce that we are hiring **Work from Home Appeals and Grievance Specialists** . The Appeals and Grievance Specialist plays ... a key role in helping members navigate and understand their benefits related to Appeals , External Medical Review, and the Fair Hearing process. Acts as the first… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …BroadPath is seeking a highly motivated and results-driven **UM RN Appeals Coordinator.** This role collaborates with clinical review staff, medical ... to ensure consistent clinical evaluation and processing of medical necessity appeals . Accurate documentation and detailed recordkeeping of notifications to members… more
- Alameda Health System (Oakland, CA)
- …of quality improvement initiatives. Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals ... . Maintains minimal denial rates by Medicare, MediCal, private and contracted payers through appropriate direction of utilization practices; assists physicians and hospital personnel in understanding UM matters. Perform all other duties as assigned. Prepares… more
- Buckeye Community Health Plan (Thornville, OH)
- …to optimize outcomes. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and ... medical necessity appeals . Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of… more
- Stony Brook University (East Setauket, NY)
- …business functions including but not limited to: billing, claims analysis appeals , follow-up, financial assistance and customer service. **Duties of a Revenue ... on rejected or denied claims, improper payments and coding issues. + Process appeals . + Liaise with third party billing and collection agencies. + Identify issues… more
- Adventist Health (Yuba, CA)
- …multiple lakes within an hour drive and nearby parks and recreational areas. This appeals to those who enjoy outdoor activities and a closer connection to nature. ... Cultural Diversity: Yuba City's diverse population, including a significant Sikh community, contributes to a rich cultural tapestry and fosters an environment of inclusivity and cultural appreciation. Adventist Health Medical Group is committed to the safety… more
- Adventist Health (Yuba, CA)
- …multiple lakes within an hour drive and nearby parks and recreational areas. This appeals to those who enjoy outdoor activities and a closer connection to nature. ... Cultural Diversity: Yuba City's diverse population, including a significant Sikh community, contributes to a rich cultural tapestry and fosters an environment of inclusivity and cultural appreciation. Adventist Health Medical Group is committed to the safety… more
- Adventist Health (Yuba, CA)
- …multiple lakes within an hour drive and nearby parks and recreational areas. This appeals to those who enjoy outdoor activities and a closer connection to nature. ... Cultural Diversity: Yuba City's diverse population, including a significant Sikh community, contributes to a rich cultural tapestry and fosters an environment of inclusivity and cultural appreciation. Adventist Health Medical Group is committed to the safety… more
- Adventist Health (Yuba, CA)
- …multiple lakes within an hour drive and nearby parks and recreational areas. This appeals to those who enjoy outdoor activities and a closer connection to nature. ... Cultural Diversity: Yuba City's diverse population, including a significant Sikh community, contributes to a rich cultural tapestry and fosters an environment of inclusivity and cultural appreciation. Adventist Health Medical Group is committed to the safety… more
- Adventist Health (Yuba, CA)
- …multiple lakes within an hour drive and nearby parks and recreational areas. This appeals to those who enjoy outdoor activities and a closer connection to nature. ... Cultural Diversity: Yuba City's diverse population, including a significant Sikh community, contributes to a rich cultural tapestry and fosters an environment of inclusivity and cultural appreciation. Adventist Health Medical Group is committed to the safety… more
- Adventist Health (Yuba, CA)
- …multiple lakes within an hour drive and nearby parks and recreational areas. This appeals to those who enjoy outdoor activities and a closer connection to nature. ... Cultural Diversity: Yuba City's diverse population, including a significant Sikh community, contributes to a rich cultural tapestry and fosters an environment of inclusivity and cultural appreciation. Adventist Health Medical Group is committed to the safety… more
- Adventist Health (Yuba, CA)
- …multiple lakes within an hour drive and nearby parks and recreational areas. This appeals to those who enjoy outdoor activities and a closer connection to nature. ... Cultural Diversity: Yuba City's diverse population, including a significant Sikh community, contributes to a rich cultural tapestry and fosters an environment of inclusivity and cultural appreciation. Adventist Health Medical Group is committed to the safety… more
- PedIM Healthcare (Crystal River, FL)
- …claims to payers promptly. Follow up on unpaid or denied claims and handle appeals as needed. Work with patients to address billing inquiries and provide assistance ... with understanding their medical bills. Stay up-to-date with medical billing codes, regulations, and compliance standards. Collaborate with healthcare providers and insurance companies to resolve billing issues. Prepare and maintain patient billing records and… more
- UTMB Health (Galveston, TX)
- …advice and guidance to managers regarding the employee grievance and appeals processes. Administers, interprets, communicates, and leads training regarding various ... human resources policies, procedures, federal and state employment laws, and initiatives that impact the work environment to management and employees. Serves as the employee relations expert to HR Business Partners and other HR colleagues. Mentors team members… more
- The Institute Of Endocrinology (Kissimmee, FL)
- …dining, and endless recreational opportunities, Orlando is a thriving city that appeals to both families and professionals alike. Compensation & Benefits Competitive ... salary with bonus system Sign-on bonus & relocation assistance Licensure costs & malpractice insurance covered by the practice Health, vision, and dental insurance available through the practice No nights, no weekends, no hospital calls -true work-life balance… more
- Sound Physicians (Cynthiana, KY)
- …affordable living, a proud agricultural tradition, and proximity to Lexington, Cynthiana appeals to those seeking a peaceful yet connected living experience in the ... heart of the Bluegrass State. Purpose-Driven Work with Local Impact Cynthiana-Centered Care: Our guiding principle is patient-first care, which means we're focused on the people of Cynthiana and nearby areas. You'll be part of a team that's making a real… more
- Southland Industries (Garden Grove, CA)
- …and potential career paths with one of the country's largest MEP building systems firms appeals to you and you're ready for the next big step in your career, then ... **JOIN** our team and become a part of an organization that values **PEOPLE** , **SAFETY, INNOVATION, COLLABORATION, INTEGRITY, ACCOUNTABILITY & SUSTAINABILITY.** **Internship/Co-op Program Benefits:** + Hands-on classroom and on-the-job experience in your… more
- HP Inc. (Vancouver, WA)
- …as a seeding ground for HP's future leaders. We work as a 'meritocracy' that appeals to and rewards high achievers. Your success paves the way for a rewarding career ... within Print Strategy or entry into one of HP's businesses, as your network of contacts becomes the "who's-who" across HP's executive ranks. The Office Print Strategy leader will leverage prior experience in management consulting / corporate / business… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …position is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to validate and accurately complete the ... claims identified with potential new payor plan coverage added to the patient's account. Assists with other related duties as assigned. SKILLS REQUIRED: - Excellent verbal communication and active listening. Effective verbal communication is one of the most… more
- Oregon State University (Corvallis, OR)
- …please describe how you are uniquely qualified for this position, and what specifically appeals to you about joining our campus community. 3) In a separate document ... share with the committee, If you were to fill the position, describe your approach to the leadership and management of multidisciplinary teams. (upload as Other Document 1) You will also be required to submit the names of at least three professional… more
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