- Conduent (Baton Rouge, LA)
- …**Are you eager to learn new skills and help adults in need?** As an Appeals Coordinator you will represent the customer, the Louisiana Department of Health ... role, you will:** + Review decision/denial letters on new appeals requests received, research data and materials to accumulate...to:** + Prepare summaries of evidence + Prepare for appeals + Document required reporting for position + Utilize… more
- CVS Health (Nashville, TN)
- …all with heart, each and every day. **Position Summary** The Senior Ops Coordinator reviews and processes appeals filed by participating providers, ensures ... regulatory requirements, and addresses compliance issues related to Complaint and Appeals policies. This role conducts internal audits, drafts appeal decision… more
- Centene Corporation (Indianapolis, IN)
- …**Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. ... verbal and written member and provider complaints, grievances and appeals + Prepare response letters for member and provider...response letters for member and provider complaints, grievances and appeals + Maintain files on individual appeals … more
- CVS Health (Sacramento, CA)
- …Summary** Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products, which may contain multiple issues and, may ... responses from multiple business units. Ensure timely, customer focused response to appeals . Identify trends and emerging issues and report and recommend solutions.… more
- University of Southern California (Los Angeles, CA)
- …Ensures students complete assigned outcomes. Provides information as needed to the appeals coordinator . + Communicates and provides information about the ... Student Conduct / Community Expectations Coordinator Office of Community Expectations (OCE) Application Process: Please include a cover letter with your resume/CV.… more
- University of Southern California (Los Angeles, CA)
- …Ensures students complete assigned outcomes. Provides information as needed to the appeals coordinator . + . Communicates and provides information about the ... of conduct and conduct processes. Job Description The Academic Integrity Coordinator is responsible for Investigating, processing and resolving reported incidents of… more
- City of New York (New York, NY)
- …Supervisor to oversee the duties and train the professional staff in the Appeals Bureau. Specific duties will include, but are not limited to, training, distributing ... attorneys: JOB RESPONSIBILITIES: - Maintaining a working knowledge of court rules and Appeals Bureau policies and helping the Bureau Chief implement such policies. -… more
- State of Colorado (Denver, CO)
- Satisfactory Academic Progress Coordinator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5180473) Satisfactory Academic Progress ... Description of Job General Summary The Satisfactory Academic Progress (SAP) Coordinator serves as the institution's lead strategist, compliance authority, and… more
- State of Colorado (Denver, CO)
- Front Desk Coordinator (Term - Limited) - Office of the Attorney General Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5181522) Apply Front ... Desk Coordinator (Term - Limited) - Office of the Attorney General Salary $39,852.00 - $55,800.00 Annually Location Denver, CO Job Type Full Time Job Number… more
- CVS Health (Oklahoma City, OK)
- …day. **Position Summary** Responsible for intake, investigation and resolution of appeals , complaints and grievances scenarios for all products, which may contain ... responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance. Identify trends and emerging issues and report… more
- Insight Global (Nottingham, MD)
- Job Description Day to Day: Insight Global is looking for a Denial Coordinator to support a large hospital system in the Maryland/DC area. This person will be ... overseeing and managing the insurance denial and appeals process to minimize financial risk and improve reimbursement...to medical necessity and assess the feasibility of submitting appeals . * Draft medical summaries of denied cases for… more
- Community Health Systems (Antioch, TN)
- **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and ... other host systems, ensuring timely follow-up on denials and appeals . + Conducts follow-up calls and payer portal research...payer portal research to track the status of submitted appeals and claim determinations, documenting all actions taken. +… more
- State of Colorado (Pueblo, CO)
- Youth Center Rights Coordinator (CYSO III) - Pueblo Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5171261) Apply Youth ... Center Rights Coordinator (CYSO III) - Pueblo Youth Services Center Salary...if your application is eliminated. You will find the appeals process, the official appeal form, and how to… more
- CBRE (Alpharetta, GA)
- Business Service Coordinator Job ID 247518 Posted 08-Dec-2025 Service line Advisory Segment Role type Full-time Areas of Interest Administrative Location(s) ... States of America **About The Role:** + As a CBRE Business Services Coordinator , you will provide routine day-to-day business support to multiple lines of business… more
- State of Colorado (Garfield County, CO)
- Municipal Augmentation Plan Coordinator , Water Division 5 Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5170911) Apply Municipal ... Augmentation Plan Coordinator , Water Division 5 Salary $76,104.00 - $112,404.00 Annually...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Adelphi University (Garden City, NY)
- NYC Education Program Coordinator Job Department/School College of Education and Health Sciences FT/PT/Temp Full time Location New York City NYC Education Program ... Coordinator Manhattan Center Ruth S. Ammon College of Education...ensure compliance with the "Eligible Schools List." Assist with appeals upon request. + Coordinate with Assistant Director of… more
- State of Colorado (Denver, CO)
- Financial Aid Advisor/Verification Coordinator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5140866) Financial Aid Advisor/Verification ... backgrounds. Description of Job GENERAL SUMMARY The Financial Aid Advisor/Verification Coordinator reports to the Associate Director of Financial Aid Operations.… more
- State of Colorado (Denver, CO)
- Travel Modeling and Data Analytics Coordinator (Analyst VI) - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5181519) Apply Travel ... Modeling and Data Analytics Coordinator (Analyst VI) - Denver Salary $91,320.00 - $110,244.00...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Athena Health Care Systems (Middletown, CT)
- We are hiring a Resident Care Coordinator Assistant (RCCA) to join our dynamic care team at Wadsworth Glen Health Care and Rehabilitation Center in Middletown! ... to grow within the company. As a Resident Care Coordinator Assistant, you will assist the Resident Care ...and faxes medical records to QIO for any requested appeals . + Assists with compiling medical records and preparing… more
- UNC Health Care (Hendersonville, NC)
- …of the unique communities we serve. Summary: The Recovery Audit Contractor (RAC) Coordinator (RN) is responsible and accountable for all Care Management Denial and ... including requests, follow-ups, tracking of approvals and denials, and completing appeals . Oversees/maintains the denial and RAC request/response data bases; ensures… more
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