- 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, ... to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and… more
- Martin's Point Health Care (Portland, ME)
- …external partners to ensure a comprehensive appeals management process. Job Description Specialist II Key Outcomes: + Serves as daily resource for staff and ... and external customers + Cross-trains to perform either Medicare or USFHP Appeals Specialist functions as needed Education/Experience: + Bachelor's Degree or… 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, ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered...Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct… more
- LA Care Health Plan (Los Angeles, CA)
- Cultural and Linguistic Services Specialist II Job Category: Clinical Department: Cultural & Linguistic Location: Los Angeles, CA, US, 90017 Position Type: Full ... purpose. Job Summary The Cultural and Linguistic Services (C&L) Specialist II is responsible for overseeing and...C&L grievance and complaint process by working closely with Appeals and Grievances (A&G) and language vendors on case… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Benefit Specialist II Exemption Status Non-Exempt Department Pharmacy Manager Title ... include customer service, claims processing, prior authorizations, formulary exceptions, appeals , grievances, and project participation. Essential Responsibilities Customer Service… more
- State of Colorado (Summit County, CO)
- Highway Maintenance Lead Specialist (TM II ) - Eisenhower Tunnel Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4641274) Apply Highway ... Maintenance Lead Specialist (TM II ) - Eisenhower Tunnel Salary...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)
- ECMC Location Assessment Specialist (EPS II ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4649055) Apply ECMC Location Assessment ... Specialist (EPS II ) Salary $74,604.00 - $90,000.00 Annually Location Denver, CO...of the department's action. For more information about the appeals process, the official appeal form, and how to… 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 -...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (CO)
- CDOC Addiction Specialist II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4559805) Apply CDOC Addiction Specialist II Salary ... the State of Colorado as: + a Certified Addiction Specialist (CAS) OR + an Addiction Counselor Candidate (AC-C)...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Compliance Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of… more
- State of Colorado (Denver, CO)
- Transportation Planning Specialist II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4647060) Apply Transportation Planning Specialist ... Regional Transportation Plans. About the Position The Transportation Planning Specialist II position will be responsible for...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Golden, CO)
- Behavioral Health Specialist , Social Work/Counselor II - Lookout Mountain Campus Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4652012) ... Apply Behavioral Health Specialist , Social Work/Counselor II - Lookout Mountain Campus...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- Sacramento County (Sacramento, CA)
- Sheriff's Records Specialist Level I/ II Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1630596) Apply Sheriff's Records Specialist ... Level 2 - $4,115.08 - $5,000.76/month The Sheriff's Records Specialist class performs a range of specialized technical clerical...One year of experience as an Office Assistant (Level II ) in Sacramento County service. Or: Two years of… more
- State of Colorado (Grand Junction, CO)
- Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II ) - Grand Junction Print ... Apply Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II ) - Grand Junction Salary $63,456.00...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- MyFlorida (Fort Lauderdale, FL)
- INVESTIGATION SPECIALIST II Date: Sep 10, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 837043 Agency: Florida Gaming Control Commission Working Title: INVESTIGATION SPECIALIST II Pay Plan: Career Service Position Number: 41500165… more
- Methodist Health System (Dallas, TX)
- …addressing and resolving no response claims, denied claims, and correspondence. As an AR II Specialist , you will play a crucial role in optimizing revenue flow ... **Your Job:** We are seeking an experienced Accounts Receivable II (AR II ) Specialist specializing...actions based on correspondence received, such as claim corrections, appeals , or adjustments. - Conduct thorough follow-up on aging… more
- Stephen F. Austin State University (Nacogdoches, TX)
- Financial Aid Specialist II Bookmark this Posting Print Preview | Apply for this Job Posting Details Position Information Job Title Financial Aid Specialist ... with functions associated with Satisfactory Academic Progress ( SAP ) appeals process, to include performing qualitative and quantitative calculations. 12. Maintains… more
- Guthrie (Sayre, PA)
- Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. ... Serves as a resource specialist within the department. Trains Insurance Billing Specialists I...to complete all types of complex insurance billings and appeals . Reviews and analyzes the insurance processing procedures to… more
- CareOregon (Portland, OR)
- Job Title Provider Relations Specialist II - Behavorial Health Exemption Status Exempt Department Provider Relations Manager Title Provider Relations Supervisor ... following areas: Provider relations, managed care operations (eg, claims, appeals , grievances, customer service), medical/behavioral health clinic operations, and/or… more
- Cedars-Sinai (Los Angeles, CA)
- …our care the most. **Req ID** : HRC1268782 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business Entity** : ... and provide back-up coverage. In this role you will effectively bill, submit appeals and collect monies relative to physician reimbursements. You will be in charge… more