- Elevance Health (Columbus, OH)
- ** Audit & Reimbursement III ** _Location: This is a United States based, virtual position._ **National Government Services** is a proud member of Elevance ... and Medicaid Services to transform federal health programs. The Audit and Reimbursement III will...+ Under guided supervision, participate in completing more complex appeals related work: + Position papers + Jurisdictional Reviews… more
- State of Colorado (Colorado Springs, CO)
- CDOC Technician III Offender Services Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4733190) Apply CDOC Technician III Offender Services ... Springs, CO Job Type Full Time Job Number Off Svcs 3803 Tech III 11.2024 Department Department of Corrections Opening Date 11/18/2024 Closing Date 12/2/2024 4:00… more
- Hackensack Meridian Health (Hackensack, NJ)
- …clinical denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent appeals iii . Recovery Audit Contractors & levels of appeal iv. Root ... UMC. These include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management, and transitions of care, as outlined in… more
- Hackensack Meridian Health (Hackensack, NJ)
- …denials by:** **I. Peer-to Peer (P2P) Concurrent appeals ** **ii. Written Concurrent appeals ** ** iii . Recovery Audit Contractors & levels of appeal** ... These include but are not limited to utilization review,** **hospital reimbursement , clinical compliance, case management, and transitions of care, as** **outlined… more
- State of Colorado (Pueblo, CO)
- …About the Position: This position will serve as the work-lead over four HP III occurrence reporters and fulfills incident review and follow up for CMHHIP, OBH, and ... for collection and reporting of data by the HP III . In the beginning stages of any investigation of...delegated by the HPV Tracers and Focused Medical Record Audit / Survey Readiness /Utilization Management: + Participates in… more
- State of Colorado (Canon City, CO)
- …holidays per year plus vacation and sick leave; + Wellness program, tuition reimbursement , training opportunities and more. Description of Job The Payroll Unit is ... Serve as a lead worker over four Data Management III positions and three Data Management II positions, overseeing...with the Payroll Manager to ensure that access controls, audit , and reporting methods are available for all Payroll… more