- 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
- 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
- Huber Fox, PC (Elk Grove, CA)
- …resume along with a cover letter addressing your professional experience and what appeals to you about this opportunity. xqrzhdi References will be required and ... interviewees will be required to complete a simple writing sample and a short test to evaluate grammatical skills and attention to detail. Job Type: Full-time Pay: $150,000.00 - $175,000.00 per year Benefits: * 401(k) * 401(k) matching * Dental insurance *… 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
- 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
- US Physical Therapy (Garden City, NY)
- …claims from submission through payment + Follow up on denials, rejections, and appeals to ensure reimbursement + Communicate with insurance carriers and patients to ... resolve issues + Track A/R reports and maintain accurate patient account records + Collaborate with team members to improve billing and collection processes **Qualifications** + 2+ years of experience in medical billing/claims management + Familiarity with… more
- Southland Industries (Santa Barbara, 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
- Florida Atlantic University (Boca Raton, FL)
- …Independently render admissions decisions, consulting with Admissions/Provost leadership on appeals and further evaluations as needed. + Troubleshoots and resolves ... complex issues related to student information and the integrity of documents. Investigate and report suspected falsified credentials to the Director of Operations. + Attends regular training on using Slate CRM, Banner, and OnBase Document Imaging and… more
- Florida Atlantic University (Boca Raton, FL)
- …and staff in Housing and Residential Education. + Process assignments, appeals , cancellations, and assignment change requests for West Campus (first-year housing), ... graduate student housing, and Jupiter Wilkes Honors College. + Collaborate with the Assistant Director to serve as a point of contact for housing renewals and room self-selection + Serve as the main point of contact to track and process Wilkes Honors College… 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
- Teleflex (Wayne, PA)
- …culture where all employees can bring their best and unique selves to work. If that appeals to you, we would love to hear from you. Come join a company where ... diversity is sought out and inclusivity is how we progress. At Teleflex, we follow a comprehensive hiring process. We do not accept unsolicited resumes from agency recruiters or 3rd party firms. We do not make unsolicited job offers. We do not ask for money or… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …phone or online before processing authorizations + Assist with complaints and appeals related to eligibility and claims, documenting information accurately in the ... utilization management system _Provider and Member Education_ + Provide guidance to providers on authorization requirements, processes, and health plan policies + Support Member Services and Network Development by communicating and educating on authorization… more
- Highland Hospital (Rochester, NY)
- …+ Complete clinical documentation, forms/paperwork requested by patients, prior authorization appeals , sign home care orders + Coordinate with other providers, home ... care and hospice teams, and pharmacies + Assist in development of practice, community outreach, educational materials, ect Duties may include presentations + Maintain professional credentials to allow for uninterrupted billing and clinical activity. 10-20%… more
- Seattle Children's (Seattle, WA)
- …Experience in revenue cycle functions, including coding denial management and appeals process. Experience in research of payer policy and coding guidelines. ... Experience with decision support systems. **Compensation Range** $88,786.00 - $133,180.00 per year **Salary Information** This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by… more
- Tutor Perini (Fresno, CA)
- …health, and insurance inspectors on walk through tours. + Prepare written appeals for safety violation citations. + Additional assignments on supervisor's request. ... **REQUIREMENTS:** + Requires at least 10 years of heavy civil construction experience. + Certified Safety Professional (CSP). + Familiarity with occupational safety and health laws and regulations. + Current certification in first aid and CPR by the American… more
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