- 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
- Elevance Health (Meridian, ID)
- **Title: Grievance & Appeals Coordinator ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles ... of one of our PulsePoint locations. The **Grievance & Appeals Coordinator ** is responsible for investigating and reviewing customer grievances and appeals … more
- Centers Plan for Healthy Living (Staten Island, NY)
- Grievance and Appeals Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #660 Wednesday, October 9, 2024 Centers Plan for Healthy Living's goal is ... 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
- Brighton Health Plan Solutions, LLC (New York, NY)
- …The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Appeals Coordinator skilled in investigating and resolving grievances, provider payment ... disputes and medical appeals submitted by our members and providers. Responsible for...ancillary claims. + Provide accurate and timely responses to appeals , grievances and all other correspondence. + Communicate effectively… more
- Health First (Rockledge, FL)
- …Plans (Health Insurance)* **Organization:** **HF Administrative Plan Inc* **Title:** *HFHP Appeals /Grievance Coordinator - Member Appeals Grievances* ... **Location:** *Florida - Brevard County-Rockledge* **Requisition ID:** *075564* more
- Centene Corporation (Tallahassee, FL)
- …competitive benefits including a fresh perspective on workplace flexibility. Pharmacy Coordinator - (Grievances, Appeals , and Prior Authorizations) Remote - ... is hired, based on business need. Job specific responsibilities: + Grievances, Appeals , and Prior Authorizations + Processing Pharmacy Appeals from Medicaid… more
- Centene Corporation (Springfield, IL)
- …**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
- 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 (Atlanta, GA)
- …and affordable. **Position Summary** This position supports the daily processing of appeals in the Commercial Member Clinical Appeals (CMCA). Job functions ... faxes, and movement of cases in the Complaints and Appeals Tracking System (CATS). All work is to be...and regulatory standards.This position supports the daily processing of appeals in the Commercial Member Clinical Appeals … more
- Crossroads Hospice & Palliative Care (Green, 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
- 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
- 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
- CVS Health (Richmond, VA)
- …affordable. **Position Summary** Responsible for intake, investigation and resolution of appeals , complaints and grievances scenarios for all products, which may ... responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance. Identify trends and emerging issues and report… more
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleAcademic Advisor and Student Recruitment Coordinator Position LocationFort Collins, CO Work LocationPosition qualifies for ... a dynamic individual to become the Academic Advisor and Student Recruitment Coordinator of a new Bachelor of Science degree program in Construction Engineering.… more
- City and County of San Francisco (San Francisco, CA)
- …and taxi services. Under general direction, the 6335 Disability Access Coordinator plans, approves, inspects and directs all activities relating to compliance ... ADA capital improvement programs. + Serve as advisor and coordinator with other City Departments on accessibility components of...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- University of Connecticut (UConn) (Storrs, CT)
- …University of Connecticut, seeks applicants for a full/part-time State 4-H Program Coordinator (Educational Program Coordinator ). The State 4-H Program ... and federal civil rights requirements. The State 4-H Program Coordinator will work closely with the State 4-H Program...approval. + Engage and manage 4-H donors and donor appeals . This includes communicating with donors, writing and developing… more
- State of Colorado (Denver, CO)
- Youth Corrections Medical Operations Coordinator (Nurse V) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4573875) Apply Youth Corrections ... Medical Operations Coordinator (Nurse V) Salary $108,540.00 - $151,968.00 Annually Location...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- City and County of San Francisco (San Francisco, CA)
- …commitment looks like in action. Under general direction, the 2917 Benefits Center Coordinator will be responsible for managing the lobby client flow and traffic at ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'… more
- State of Colorado (Denver, CO)
- ECMC Renewable Energy Program Coordinator (EPS III) -Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4701665) Apply ECMC Renewable ... Energy Program Coordinator (EPS III) -Hybrid Salary $86,376.00 - $103,200.00 Annually...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
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