- Commonwealth Care Alliance (Boston, MA)
- …clinical, operations, pharmacy, dental, reporting, and member services. - Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in day-to-day ... **Why This Role is Important to Us:** Appeals and Grievances Representative supports the Operations Department and the Appeals and Grievances team in a… more
- State of Georgia (Dekalb County, GA)
- …of state and federal laws and policies related to veterans' affairs. Assists senior Claims & Appeals Officers with appellate action. Provides support for ... gathering facts and historical evidence. May serve as assistant representative before either local VA hearing officers or before...Dept of Vet Serv Field Offices. Provides support to senior Claims & Appeals personnel. Must have… more
- UNC Health Care (Smithfield, NC)
- …teamwork and reflects UNC Health Care's mission and philosophy. Responsibilities: 1. Appeals & Managed Care Escalations: Project Manage all 3rd party appeals ... performed. Meets/Exceeds Productivity & Quality Standards. Escalates issues to senior team members and/or management those issues impacting successful account… more
- HUB International (Lafayette, LA)
- …leading success in Mergers and Acquisitions. **Position Summary** The Internal Service Representative addresses all employee benefit issues as brought up by HUB ... providers, and clients to resolve claims (including assistance in the appeals process), enrollment, termination, and billing issues. + Provides knowledgeable answers… more
- Sanford Health (IA)
- …includes quality reporting on outcomes of staff enrollments. Conduct trend analysis, appeals and resolve low payment or underpaid accounts. Perform account follow up ... degree preferred. Minimum one year experience as a Provider Enrollment Representative required. **Benefits** Sanford Health offers an attractive benefits package for… more
- Northwell Health (Lake Success, NY)
- …+ Coordinates clinical documentation requests to business office to ensure timely appeals . + Develops and implements policies and procedures to facilitate billing ... and maximize case collections. + Reviews and recommends improvements for financial management of each billing area. + Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with… more
- BrightSpring Health Services (Louisville, KY)
- …Provider issues. Refer all unresolved issues to the next level including grievance and appeals . + Actively market plan to new senior care partners within plan ... Our Company Abode Care Partners Overview Seeking an Account Representative for our Signature Advantage Plan who will work...for our Signature Advantage Plan who will work with senior care partners to assist in enrolling new residents… more
- Exelon (Salisbury, MD)
- …professional and self-starting. **Preferred Qualifications** **PREFERRED QUALIFICATIONS** + Senior representative level experience in energy/utility real ... and sale of property and property rights, property tax assessments and appeals , property management and other real estate related matters. + Assists in… more
- City and County of San Francisco (San Francisco, CA)
- …minimum qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Security Specialty are only accepted ... that integrate these systems together as an enterprise networking backbone. The 1043 Senior Security Engineer is the advanced journey level in the Engineer series.… more
- City and County of San Francisco (San Francisco, CA)
- …minimum qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Networks Specialty are only accepted ... that integrate these systems together as an enterprise networking backbone. The 1043 Senior Networks Engineer is the advanced journey level in the Engineer series.… more
- City and County of San Francisco (San Francisco, CA)
- …qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Applications Specialty are only accepted ... integrate these systems together as an enterprise networking backbone. The 1043 Senior Applications Engineer is the advanced journey level in the Engineer series.… more
- City and County of San Francisco (San Francisco, CA)
- …minimum qualifications. Application Deadline: Continuous How to Apply: Applications for Senior Information Systems Engineer - Systems Specialty are only accepted ... these systems together as an enterprise networking backbone or platform. The 1043 Senior Systems Engineer is the advanced journey level in the Engineer series. The… more
- City and County of San Francisco (San Francisco, CA)
- ….) Recruitment ID: CBT-7365-T000120 / REF44059T Under direction, a Senior Power System Operator is responsible for the daily operation ... Service Commission Rule 409, the duties specified below are representative of the range of duties assigned to this...to change after adoption (eg, as a result of appeals ), as directed by the Director of Transportation or… more
- Clark County, NV (Las Vegas, NV)
- SENIOR ECONOMIC DEVELOPMENT SPECIALIST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4705378) Apply SENIOR ECONOMIC DEVELOPMENT ... Development is seeking qualified candidates to apply for the Senior Economic Development Specialist position. This individual will be...jobs, and expand the tax base. As a client-focused representative , this position serves as an ambassador to the… more
- MyFlorida (Tallahassee, FL)
- SENIOR CONSUMER SERVICE ANALYST - 41000334 Date: Oct 17, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 838841 Agency: Office of the Attorney General Working Title: SENIOR CONSUMER SERVICE ANALYST - 41000334 Pay Plan: Career Service Position Number:… more
- State of Indiana (Indianapolis, IN)
- Attorney Senior Date Posted: Nov 4, 2024 Requisition ID: 451915 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of ... a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable… more
- Guardian Life (Bethlehem, PA)
- The ** Senior Life Underwriter** is accountable for managing assigned work, developing agency relationships, and ensuring customer satisfaction at the highest level. ... for the purpose of acquiring necessary information, solving problems, negotiating appeals , and conveying decisions in a polite, confident, and professional manner.… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Senior Coding Specialist is responsible for performing coding tasks required to promote efficient operation of the physician practices within Chesapeake Regional ... practice go lives + Comprehension of payer guidelines for appeals , overpayments, retractions, refunds, eligibility, reconsiderations, referrals, authorizations, payer… more
- State of Colorado (Denver, CO)
- …they emerge and addresses them expediently with the Communications Director and senior leadership. + Decides the appropriate subject matter expert to participate in ... releases, and fact sheets, working with the Communications Director, senior leadership, and program staff to provide accurate and...the official appeal form, signed by you or your representative . This form must be delivered to the State… more
- State of Colorado (Larimer County, CO)
- …Coordination Regional Mutual Aid System (CCRMAS). The Lead Fire Dispatcher is a senior level dispatcher that works under the general direction of the Dispatch Center ... Dispatching + The Lead Fire Dispatcher position is a senior level dispatcher that is proficient and experienced in...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel… more