- 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 ... Appeals Managers, physician advisors and facility departments. | Develops/validates daily work lists for Utilization and Appeals Manager. | Assist with all… more
- VNS Health (Manhattan, NY)
- …including intake, classification, setup, and assignment of grievances and appeals . Additionally, provides administrative support to staff, including tasks such ... as clinical case file preparation for appeals . This includes retrieving documents from related systems (such...CMS and DOH regulatory requirements and timeframes, and prioritizes work accordingly. + Assists with identifying and researching missing… more
- University of Utah (Salt Lake City, UT)
- …denials and appeals to ensure timely collection. 20% 1. Maintain work queue expectations. 2. Evaluate and resolve coding claim rejections and denials through ... **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals & Coding Specialist III **Job Grade** E **FLSA...**Full Time or Part Time?** Full Time **Shift** Day ** Work Schedule Summary** UMB Office Hours; M-F 8:00am to… more
- State of Colorado (Denver, CO)
- …minimum. Primary Physical Work Address This is a Remote/Hybrid position - Work is primarily performed from a home office, however the selected candidate ... ECMC Application Testing and Support Coordinator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4843776) Apply ECMC Application Testing and… more
- State of Massachusetts (Boston, MA)
- …for issuing non-compliances and termination notices to families. When a family appeals a non-compliance/termination, the NC Coordinator is responsible for ... Housing and Livable Communities (EOHLC) is seeking a Non-Compliance Coordinator /Program Coordinator III in the Division of...to work that combines in-office workdays and work from home days, as needed. Salary… more
- State of Colorado (Denver, CO)
- Case Management Eligibility Coordinator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4871135) Apply Case Management Eligibility ... is open only to Colorado state residents. Primary Physical Work Address 303 E 17th Ave. Denver, CO 80203...abilities. We are looking for a Case Management Eligibility Coordinator to join ourOffice of Community Living team! As… more
- State of Colorado (Colorado Springs, CO)
- …Department Information This position is eligible for a hybrid workplace which is partly remote ( work from home / travel to other facilities) and partly in office ... (Social Worker/Counselor IV) - Behavioral Health Peer Mentor Program Coordinator (Hybrid) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4879194) Apply CDOC (Social Worker/Counselor… more
- HCA Healthcare (Manchester, NH)
- …care like family! Jump-start your career as a Medical Staff Services Coordinator today with Catholic Medical Center. **Benefits** Catholic Medical Center, offers a ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- Corewell Health (Grand Rapids, MI)
- …absence. A large focus of this role will be working on appeals . Essential Functions + Utilizes the appropriate software applications to maximize efficiency ... Qualifications Required + Associate's Degree or equivalent specific course work in office administration/secretarial science. + 2 years of relevant… more
- Corewell Health (Trenton, MI)
- …Health Advantage Award in the category of Health and Clinical Outcomes. It is home to nine university affiliated residency programs. Here, you will find a Level II ... other specialties like orthopedics, neurosurgery, and women's health. Scope of work Under general direction, integrates cost, quality and utilization to facilitate… more
- Tufts Medicine (Boston, MA)
- …very advanced knowledge of operational procedures and tools obtained through extensive work experience and may require vocational or technical education. Works under ... responsible for leading daily operations, and trains, delegates and reviews the work of lower level employees, and problems are typically difficult and non-routine… more
- Highmark Health (Dover, DE)
- **Company :** Endorsed **Job Description :** **JOB SUMMARY** ** Work from home - required visits in the community to see patients.** This job is proficient in the ... contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials/ appeals and retrospective payer audit denials. Collaboratively formulates plans… more
- Corewell Health (Royal Oak, MI)
- …of housing Michigan's first Diagnostic Imaging Center of Excellence. Scope of work Under general direction, integrates cost, quality and utilization to facilitate ... when appropriate. Works collaboratively with departmental, revenue cycle, and clinical appeals staff, physicians, and payers to obtain authorization for care and… more
- University of Rochester (Rochester, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 500011 Patient Financial Services Work Shift: Range: UR URCA 206 H Compensation Range: $21.71 - $29.31 _The ... 35% For hospital billing: - Review Coverage Manager II work queues. Review payer coverage changes made at the...corrected claim submission accordingly. - - Create and submit appeals for denials. - - Communicate with internal departments… more
- State of Colorado (Pueblo, CO)
- Mental Health Transitional Living Home - Social Work /Counselor III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4861932) Apply Mental ... Health Transitional Living Home - Social Work /Counselor III Salary $81,000.00 -...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- RN Health Compliance Inspector, Home Care Services HFEMS - FAA00357 Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4850299) Apply RN Health ... Compliance Inspector, Home Care Services HFEMS - FAA00357 Salary $72,336.00 Annually...is open only to Colorado state residents. Primary Physical Work Address 4300 Cherry Creek S Dr. FLSA Status… more
- State of Colorado (Grand Junction, CO)
- HEALTH CARE TECHNICIAN III (Group Home ) - Grand Junction Regional Center **Western Slope** Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4868963) Apply HEALTH CARE TECHNICIAN III (Group Home ) - Grand Junction Regional Center **Western Slope** Salary… more
- State of Michigan (Lansing, MI)
- … coordinator assisting with all actions related to hearings, appeals , monitoring litigations, and processing subpoenas for BSBP programs including Business ... Opportunity, we are passionate about creating a positive, professional, and supportive work environment where we value our differences and are committed to being… more
- State of Colorado (Pueblo, CO)
- …of Announcement This position is open only to Colorado state residents. Primary Physical Work Address 270 W John Powell Blvd, Pueblo West, CO 81007 FLSA Status ... 88 individuals. PRC provides 24/7 care and treatment in home -like settings, while offering habilitative services and supports in...therefore, person in this position must be available to work any shift, any day, and any area to… more
- The County of Los Angeles (Los Angeles, CA)
- …with an opportunity for permanent County employment. Before the end of your initial work period, you will be assessed on your work performance. This assessment ... federal) benefits (ie compensation, pension, vocational rehabilitation, health care, home loan, burial, etc.); accurately completing prescribed Veterans Administration… more