- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist LVN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, ... safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Nurse Specialist LVN II is primarily responsible for… 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
- Trinity Health (Farmington Hills, MI)
- …Responsible for leveraging clinical 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 levels of Payment Resolution Specialist for further review. Serve as a resource to… more
- Trinity Health (Farmington Hills, MI)
- …as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves ... knowledge of state/federal laws as they relate to contracts and the appeals process. Investigates and addresses overpayment and underpayment accounts with the… 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
- 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
- Merit Systems Protection Board (Oakland, CA)
- … appeals and general Board procedures. Analyzes and evaluates initial appeals , determining timeliness and jurisdictional issues and hearing requirements. ... Regional Office - Oakland, California. The office is responsible for adjudicating appeals filed by Federal employees. The incumbent of this position serves as… more
- State of Colorado (Colorado Springs, CO)
- Electronics Specialist I or II, Traffic - Colorado Springs Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4571545) Apply Electronics ... Specialist I or II, Traffic - Colorado Springs Salary...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Clark County, NV (Las Vegas, NV)
- YOUTH & ADULT INTERVENTION SPECIALIST I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4516048) Apply YOUTH & ADULT INTERVENTION ... SPECIALIST I/II Salary $29.44 - $49.33 Hourly Location Clark...to read printed materials and a computer screen; and hearing and speech to communicate in person or over… more
- State of Colorado (Durango, CO)
- Highway Maintenance Specialist - Durango Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4465288) Apply Highway Maintenance Specialist - ... your passions into a career as a Highway Maintenance Specialist . CDOT has a vacancy for a Highway Maintenance...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (San Miguel County, CO)
- Lead Highway Maintenance Specialist - Norwood Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4331758) Apply Lead Highway Maintenance ... Specialist - Norwood Salary $56,028.00 - $67,224.00 Annually Location...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Gunnison County, CO)
- Highway Maintenance Specialist - Gunnison (CDL Training Provided) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4571395) Apply Highway ... Maintenance Specialist - Gunnison (CDL Training Provided) Salary $58,356.00 -...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- City Of Margate (Margate, FL)
- Permit Specialist I Closes On: July 31, 2024 at 11:59 PM EST Department:Building Division:Building Job Status:Full-Time Rate of Pay:$39,277.00 - $55,106.00 Position ... computer system. Work is performed under general supervision of Lead Permit Specialist and Office Manager. Essential Functions The following duties and functions, as… more
- State of Colorado (Rio Blanco County, CO)
- Lead Transportation Maintenance Specialist (TM II) - Rangely Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4372950) Apply Lead ... Transportation Maintenance Specialist (TM II) - Rangely 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
- Office of Finance and Operations (Washington, DC)
- …S. Department of Education, Office of Finance and Operations, Office of Hearings & Appeals (OHA). The mission of OHA is to provide independent forums for the fair, ... prior to submitting your application. As a Legal Administrative Specialist GS-0901-11, FPL 11, you will be responsible for:...* Maintaining and operating the Office of Hearings & Appeals case management and docket system, in both paper… more
- Clark County, NV (Las Vegas, NV)
- SENIOR OFFICE SPECIALIST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4548259) Apply SENIOR OFFICE SPECIALIST Salary $20.07 - $31.08 ... seeking qualified candidates to apply for the Senior Office Specialist position. This position assigns, directs and reviews the...to read printed materials and a computer screen, and hearing and speech to communicate in person or over… more
- State of Colorado (Denver, CO)
- Environmental Protection Specialist II - Landscape Architect Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4574099) Apply Environmental ... Protection Specialist II - Landscape Architect Salary $74,604.00 - $82,056.00...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (CO)
- Civil Rights Specialist - Durango or Alamosa Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4578386) Apply Civil Rights 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 Massachusetts (Brockton, MA)
- …Office of Housing and Livable Communities (EOHLC)is seeking a Homeless Hearings Specialist /Benefit Eligibility & Referral Social Worker C in the Division of Housing ... performs related duties as required. In addition, the Homeless Hearings Specialist prepares cases for administrative appeal hearings by gathering supportive… more