- Catholic Health Services (Melville, NY)
- …Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate utilization ... more
- CDPHP (Albany, NY)
- …share these values and invites you to be a part of that experience. The Appeals Coordinator is responsible for the timely and accurate triaging all appeals ... more
- City of New York (New York, NY)
- …improving health and safety, and increasing opportunities for equitable growth. Your Team The Appeals Operations Coordinator will be a key member of the Division ... more
- Point32Health (Canton, MA)
- …and communities. **Job Summary** Under the Supervisor's direction, the Member Appeals and Grievances Department Coordinator assists with all operational ... more
- UCLA Health (Los Angeles, CA)
- Description The Appeals & Grievance Intake Coordinator serves as the primary point of contact for receipt of member-initiated complaints and Health Plan ... more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... more
- Centene Corporation (Phoenix, AZ)
- …**Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. ... more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Appeals and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written ... more
- VNS Health (Manhattan, NY)
- …including intake, classification, setup, and assignment of grievances and appeals . Additionally, provides administrative support to staff, including tasks such ... more
- Insight Global (Los Angeles, CA)
- …use by the examiners or Participant Services Representatives when necessary. Assist Appeals Coordinator with preparation of Benefits Committee appeal cases. ... more
- Crossroads Hospice & Palliative Care (Green, OH)
- …and backgrounds + Problem-solving skills to research and resolve discrepancies, denials, appeals , collections Billing Coordinator Hospice Schedule & Benefits: + ... more
- Apex Health Solutions (Houston, TX)
- …as part of the preauthorization process; flags cases for review by the Appeals & Outcomes Coordinator Reports potential risk management cases or situations ... more
- University of Utah (Salt Lake City, UT)
- …Number** PRN41434B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals & Coding Specialist III **Job Grade** E **FLSA Code** Nonexempt ... more
- City of New York (New York, NY)
- …In furtherance of this mission, the BXDA seeks experienced and enthusiastic Appeals Specialist (TPA 3) to assist with post-conviction litigation, including direct ... more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Appeals Specialist II, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report ... more
- CUNY (New York, NY)
- …action efforts, including the Annual Affirmative Action Plan; + As 504/ADA Coordinator , review appeals of reasonable accommodation request decisions; + ... more
- CVS Health (Frankfort, KY)
- …day. **Position Summary** Responsible for intake, investigation and resolution of appeals , complaints and grievances scenarios for all products, which may contain ... more
- CVS Health (Springfield, IL)
- …affordable. **Position Summary** Coordinate effective resolution of member or provider/practitioner appeals . Responsible for managing to resolution of appeals , ... more
- Stony Brook University (East Setauket, NY)
- …follow-up and/or denials appeals and resolution. **Duties of a Revenue Cycle Coordinator may include the following but are not limited to:** + Prepares and ... more
- University of Colorado (Aurora, CO)
- **Director of Investigations and Deputy Title IX Coordinator ** **Description** **University of Colorado Denver | Anschutz Medical Campus** **Department:** **Office ... more
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