- Geisinger (Danville, PA)
- Job Summary Provides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with appeals regarding ... benefit issues and concerns regarding quality of care or service. PresentsMember appeals to the Plan Medical Staff and Center for Medicare/Medicaid Services… more
- 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
- University of Utah Health (Salt Lake City, UT)
- …Supervise the day-to-day activities of staff who process member and provider Grievance and Appeals . + Monitor and set goals for staff workloads. + Ensure that staff ... are processing Grievances and Appeals efficiently and in compliance with applicable policies, regulations,...strong leadership skills. + Ability to be self-motivated and work with moderate direct supervision. + Demonstrated familiarity with… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Appeals intake coordinator position is focused on the processing of incoming member and provider Medicare appeals and grievances. This team ... member will screen incoming complaints and appeals for level of urgency, benefit or medical necessity issues and other appropriate inquiries. This team member will… more
- State of Colorado (Grand Junction, CO)
- …Grand Junction Regional Center (GJRC). Additionally, as a Employment First and Pre-Vocation Coordinator you can expect to: + Work with the Community Integration ... Employment First and Pre-Vocation Coordinator - (Health Care Tech IV) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4823159) Apply … 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
- ProMedica Health System (Toledo, OH)
- …documents payor authorizations for post-acute services (ie, placements, Home Health/ Home Care, DME, etc.). Escalates denials/ appeals , as appropriate. 11. ... physicians. Excellent customer service skills and the ability to work in a fast paced environment are a must....receive this honor. POSITION SUMMARY The Care Navigation Resource Coordinator works directly with unit RN Acute Care Navigator(s)… more
- CareOregon (Portland, OR)
- …the employee's personal vehicle, local transit or other means of transportation may be used Work Location: Work from home #MULTI Candidates of color are ... Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Ambulatory Care Clinical Coordinator Exemption Status Exempt Management Level n/a Direct Reports n/a Manager… more
- UPMC (Erie, PA)
- …Western Behavioral Health at Safe Harbor is seeking a passionate **Service Coordinator Supervisor** to lead a new initiative focused on providing case management ... To address the growing complexity of housing instability, the **Service Coordinator Supervisor** will follow the Cultivating Health for Success (CHFS) model.… more
- Virtua Health (Swedesboro, NJ)
- …partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts ... the latest technologies, treatments, and techniques to provide exceptional care close to home . A Magnet-recognized health system ranked by US News and World Report,… more
- BayCare Health System (Dunedin, FL)
- …of an Admissions Coordinator RN at BayCare Alliant include:** + Will work closely with the Admissions Liaisons to coordinate admissions to the Long Term Acute ... network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the… more
- Salt Lake County (Salt Lake City, UT)
- …to changing the lives of its community, please keep reading. What it is like to work here: At Salt Lake County our culture is woven into all aspects of our ... work and our employees' lives, from the way we...Onsite medical clinic, hospital insurance, pet insurance auto and home insurance and discounts at County facilities. For Benefits… more
- University of Rochester (Woods, MN)
- …Time Type: Full time Scheduled Weekly Hours: 40 Department: 500193 Medicine SMH Gastrointestinal Work Shift: UR - Day (United States of America) Range: UR URCD 204 H ... compliance, insurance company barriers and tracking all assistance provided. Plans, executes, appeals and follows through on all aspects of the process which has… 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
- 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
- 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 (Denver, CO)
- …Program. For more information, go to: http://www.tgslc.org/borrowers/public-service/ Description of Job Work Units The Mobile Home Park Water Quality Unit ... with supervisor oversight, to perform compliance and enforcement production work . This includes managing mobile home park...Procedures, 4 CCR 801, for more information about the appeals process. The State Personnel Board Rules and Personnel… more
- State of Colorado (Denver, CO)
- …minimum. Primary Physical Work Address 3656 W. Princeton Cir., Denver, Colorado 80236 - * Home as sole and permanent work place - employee's home address ... Description of Job Please Note: This position has hybrid work arrangements. This position has a home ...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)
- …and details of the schedule with you during the interview process. A hybrid position can work a portion of the time from home and a portion of the time ... is open only to Colorado state residents. Primary Physical Work Address 710 S. Ash St., Denver, CO 80246...for evaluation to EI Colorado. As the initial service coordinator of record, this position is the first point… more
- State of Colorado (CO)
- …eligible for overtime compensation. Department Contact Information ###@state.co.us Primary Physical Work Address This position is remote based with expectations to ... to high speed internet service as well as a work setting which permits privacy and confidentiality. This position...culpability, and to ensure the safety of children in out-of- home placements. About this Position: The contracts administration team… more