- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The Denial Management Specialist is responsible for the timely review and accurate identification and follow-up of all initial denial ... as the appeal of denials/rejections from third-party payers. The specialist will manage their assigned work relating to all...to effectively reduce days in A/R. Develops and writes appeals for denials associated with the payment of claims… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides… more
- Area Agency On Aging 1-b (Southfield, MI)
- The Appeals and Compliance Specialist is responsible for providing comprehensive responses in compliance with contract, regulatory and accreditation requirements ... Represent AgeWays during external communication with participant and during the administrative hearing process. Works closely with the Compliance Officer and is an… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Appeals and Grievance Specialist performs reviews, within operational aspects, of the member and provider complaints, appeals and ... of cases; review, research and coordination of complaints, grievances, appeals and reconsiderations consistent with statutory and federal regulatory guidelines.… more
- State of Massachusetts (Boston, MA)
- …available for work, and looking for work and looking for a job. The appeals process for unemployment issues is governed by Massachusetts General Laws, Chapter 151A. ... in person at various locations throughout the state. The Office Support Specialist II provides administrative support to the Regional Hearings Manager, the Program… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Tax Appeals , Division of Title Administrative Specialist 1, or Trainee 1/ Trainee 2 (NY HELPS) Occupational Category Administrative or General ... the direction of the DTA Senior Staff, the responsibilities of the Administrative Specialist 1 include:* Review hearing reporter statements and transcripts to… more
- State of Colorado (CO)
- ECMC Enforcement Advisor (COMPLIANCE SPECIALIST IV) -Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4633466) Apply ECMC Enforcement ... Advisor (COMPLIANCE SPECIALIST IV) -Hybrid Salary $70,140.00 - $91,200.00 Annually Location...pursue cooperative settlement; + Prosecute contested enforcement actions before Hearing Officers, ALJs, or the Commission; + Provide technical… more
- MyFlorida (Tallahassee, FL)
- … appeals hearings regarding overpayments as requested by the Office of RA Appeals or other hearing offices. Performs other related duties as required. ... 836376 OPS EMPLOYMENT PROGRAM SPECIALIST - 40099808 Date: Aug 27, 2024 The...calls, and associated mail daily. Responsible for reviewing the appeals decisions to determine the appropriate actions needed as… more
- State of Colorado (CO)
- ECMC Reclamation Specialist (EPS II) - Eastern Plains - Remote/Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4625817) Apply ECMC ... Reclamation Specialist (EPS II) - Eastern Plains - Remote/Hybrid Salary...Violations (NOAVs), support the prosecutorial staff, and appear at hearing as an expert witness. + Identify corrective actions… more
- State of Colorado (Grand Junction, CO)
- Highway Maintenance Specialist - Blue Mesa/Gunnison (CDL Required) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4591482) Apply Highway ... Maintenance Specialist - Blue Mesa/Gunnison (CDL Required) Salary $58,356.00 -...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Interior, Bureau of Indian Affairs (Pawhuska, OK)
- …substantial support assistance to, and consults with, deciding officials in the Office of Hearing and Appeals (OHA), and attorney advisors in the Bureau and ... Reviews, analyzes and makes recommendations to the Office of Hearing and Appeals staff regarding proposed leases, rights-of-way, or other encumbrances of… more
- State of Colorado (Montezuma County, CO)
- Highway Maintenance Lead Specialist (TM II) - Cortez Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4544399) Apply Highway Maintenance Lead ... Specialist (TM II) - Cortez Salary $57,708.00 - $63,468.00...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Maryland Department of Transportation (Baltimore City County, MD)
- Labor Relations Specialist (Administrator III) Salary $69,323.00 - $112,044.00 Annually Location Baltimore City Job Type Full Time Job Number ... + Benefits + Questions Description MARYLAND TRANSIT ADMINISTRATION Labor Relations Specialist (Administrator III) (2588) Grade 18 Career Service Open to all… more
- Clark County, NV (Las Vegas, NV)
- ECONOMIC DEVELOPMENT SPECIALIST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4620800) Apply ECONOMIC DEVELOPMENT SPECIALIST Salary ... seeking qualified candidates to apply for the Economic Development Specialist position. The person is charged with managing, coordinating,...to read printed materials and a computer screen; and hearing and speech to communicate in person or over… more
- State of Colorado (Denver, CO)
- Safety Marketing and Communications Specialist III - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4621923) Apply Safety Marketing ... and Communications Specialist III - Denver Salary $57,708.00 - $71,928.00 Annually...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Trinity Health (Farmington Hills, MI)
- …Responsible for leveraging coding knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing ... of appeals as required by payers. in addition to promoting...and reviews findings with all level of Payment Resolution Specialist for further review. Takes initiative to continuously learn… more
- State of Colorado (Denver, CO)
- Toll Systems Specialist (Analyst III) - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4633348) Apply Toll Systems Specialist ... of the department's action. For more information about the appeals process, the official appeal form, and how to...disease * Cerebral palsy * Deaf or hard of hearing * Depression or anxiety * Diabetes * Epilepsy… more
- State of Colorado (Denver, CO)
- Environmental Protection Specialist III - Work Group Leader - 00902 Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4585289) Apply ... Environmental Protection Specialist III - Work Group Leader - 00902 Salary...Board, that person must file an appeal (petition for hearing ) within 10 days of the action or receipt… more
- State of Colorado (Denver, CO)
- Environmental Protection Specialist II - Remediation & Restoration Unit - 2690 Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4520817) Apply ... Environmental Protection Specialist II - Remediation & Restoration Unit - 2690...Board, that person must file an appeal (petition for hearing ) within 10 days of the action or receipt… more
