- 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 (LDH) ... In this remote role, you will: Review decision/denial letters on new appeals requests received, research data and materials to accumulate evidence, draft and… more
- Centene Corporation (Salem, OR)
- …on workplace flexibility. Position Purpose: Act as the liaison for all statewide appeals , fair hearings, review organizations, and other external type appeals . ... both State and NCQA requirements. Review clinical information for all appeals utilizing nationally recognized criteria to determine medical necessity of services… more
- Roper St. Francis (North Charleston, SC)
- …Friday | 8:00 AM - 5:00 PM Job Summary : The LifeLink Accounts Coordinator handles billing and follow-up of all LifeLink claims involving insurance agencies as well ... enable claims to get paid timely and accurately. The coordinator will provide excellent customer service and support in...position will work closely with all payors to resolve appeals and find speedy resolution to denials. The Accounts… more
- Johns Hopkins University (Baltimore, MD)
- …and share with the Development team. Generate donor lists for appeals , events, newsletters, and recognition publications. Collaborate with Finance to reconcile ... in philanthropy and understanding of fundraising principles. Classified Title: Development Coordinator Job Posting Title (Working Title): Development Coordinator … more
- Community Health Systems (Franklin, TN)
- Job Summary The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals ... for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with process… more
- Community Health Systems (Franklin, TN)
- …reduce future denials, and ensure compliance with payer guidelines. As a Denial Appeals Coordinator at Community Health Systems (CHS) - PCCM, you'll play ... **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving...reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and working closely with payers, internal… more
- 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
- Dignity Health (Rancho Cordova, CA)
- …This position is hybrid in-office and work from home.** **Position Summary:** The Appeals and Grievances Coordinator is responsible for supporting the appeals ... department team members by managing and coordinating the appeals and grievance process. This role involves: - facilitating...and grievances. Acting a subject matter expert (SME), the Coordinator will work closely with internal teams and external… more
- Centene Corporation (Salem, OR)
- …workplace flexibility. **Position Purpose:** Act as the liaison for all statewide appeals , fair hearings, review organizations, and other external type appeals . ... both State and NCQA requirements. + Review clinical information for all appeals utilizing nationally recognized criteria to determine medical necessity of services… more
- Centene Corporation (Harrisburg, PA)
- …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
- Nuvance Health (Danbury, CT)
- …Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors (PAs) and other stakeholders in ensuring ... role is instrumental in liaising with all above parties to submit provider appeals to insurance companies including Medicare and Medicaid for the Nuvance Health… more
- CVS Health (Columbus, OH)
- …do it all with heart, each and every day. **Position Summary** Enter grievance and appeals cases into the G&A system to launch the case for research and resolution. ... cases. **What you will do** + Reviews, and processes appeals and grievances filed by patients. + Assists with...addresses any identified compliance issues with the Complaint and Appeals policies and procedures. + Conducts reviews of decisions… more
- CVS Health (Austin, TX)
- …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
- 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 ... Community Expectations Coordinator Office of Community Expectations (OCE) Application Process:...and its resources. About the Opportunity The Community Expectations Coordinator is responsible for Investigating, processing and resolving reported… 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)
- …its work. Job Duties and Responsibilities: - Serve as the Reasonable Accommodations Appeals Unit coordinator and processing incoming requests. - Maintain an ... agencywide list of Executive Assistants for agency leadership that is updated and shared on a monthly basis. - Serve as a co-preparer for travel alongside the Operations Manager on travel for the Commissioner and other COH office staff. - Maintain the… more
- State of Colorado (Denver, CO)
- DD Waiver Enrollment & Appeals Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5159953) Apply DD Waiver Enrollment & Appeals ... Colorado. We are looking for aDD Waiver Enrollment & Appeals Specialist to join our Office Of Community Living...this position, please direct your inquiries to our ADAAA Coordinator , Minnie Kaur, at ###@state.co.us . The Department 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)
- Records Coordinator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5164116) Apply Records Coordinator Salary $4,906.00 - $6,825.30 ... lovers, runners and more. Join our team! The Records Coordinator is primarily responsible for effectively tracking and coordinating...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (CO)
- Project Coordinator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5166423) Apply Project Coordinator Salary $58,872.00 - $76,536.00 ... https://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs . https://dhr.colorado.gov/dhr-resources/student-loan-forgiveness-programs We are looking for a Project Coordinator for the Enterprise Project Management Office of the… more
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