- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process ... and serves as a resource for associates within the Clinical Appeals and Analysis unit. We are...who is willing and able to work in a hybrid model. The incumbent will be expected to work… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Supervisor of Appeals and Grievances Clinical...position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical… more
- University of Michigan (Ann Arbor, MI)
- Revenue Cycle Coding Supervisor - Appeals & Denials Apply Now **Job Summary** The Denial Coding Supervisor provides subject matter expertise in physician ... employer. **Job Detail** **Job Opening ID** 258393 **Working Title** Revenue Cycle Coding Supervisor - Appeals & Denials **Job Title** Revenue Cycle Coding Supr… more
- Area Agency On Aging 1-b (Southfield, MI)
- …an administrative clinical setting, including 1-2 years medicaid managed care appeals process & Health/Human Services. + The ability to effectively interact with ... organizational, training, and investigative skills. The ability to conduct clinical case/documentation reviews, present findings and appeals recommendations.… more
- State of Colorado (Denver, CO)
- …I - Forensic Evaluator - Statewide ( Hybrid ) **$14,000 Sign On Incentive** Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4258800) Apply ... PSYCHOLOGIST I - Forensic Evaluator - Statewide ( Hybrid ) **$14,000 Sign On Incentive** Salary $95,340.00 Annually Location Denver, CO Job Type Full Time Job Number… more
- State of Colorado (CO)
- …II - Forensic Evaluator - Statewide ( Hybrid ) ** $14,000 Sign On Incentive** Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4518897) ... Apply PSYCHOLOGIST II - Forensic Evaluator - Statewide ( Hybrid ) ** $14,000 Sign On Incentive** Salary $103,452.00 - $106,044.00 Annually Location Statewide, CO Job… more
- UNC Health Care (Goldsboro, NC)
- …the Physician Advisors and subject matter experts for all audit and appeals work activities. Responsibilities: 1. Provides leadership, clinical expertise and ... denials for validity and probability to overturn, proactively gathers required clinical documentation and formulates appropriate appeals . Coordinates the denial… more
- Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
- …wide variety of prosthetic and orthotic devices. Works in collaboration with supervisor to oversee the operation of the Prosthetic, Orthotic and Optical ... completes requests for prosthetic equipment and services. Works in collaboration with supervisor and senior staff to plan, draft, develop, and prepare budget… more
- State of Colorado (Pueblo, CO)
- …to receive text message updates on CDHS recruiting events! CDHSCareers Description of Job Hybrid Work: This position is required to report to the office at least 2x ... and competencies necessary to the position through continuing education, clinical supervision, literature review, and discipline and team development. This… more
- State of Colorado (Denver, CO)
- …This position is ONLY open to current Colorado state residents. This position is a hybrid position, with one day a week in office. The State of Colorado believes ... active laboratory surveillance for Emerging Infections Projects by contacting participating clinical laboratories to explain and ensure the reporting of viral… more
- Elevance Health (Columbus, OH)
- ** Clinical Ops Associate Medical Director** **Location:** **This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive… more
- Buffalo Hearing & Speech Center (Buffalo, NY)
- …updates from payers and shared within the Billing Department, Front Support Staff, Clinical Director, Audiology Supervisor , Speech Therapy Supervisor as ... Billing Assistant in our Finance department. This is a hybrid remote position where time can be spent both...done bi-monthly on assigned controls to include corrected claims, appeals , phone calls, or provider rep assistance to assure… more
- Guidehouse (Lewisville, TX)
- …+ Works all denials taking necessary actions to obtain account resolution + Submits appeals , as appropriate, for all non- clinical denials + Monitors all denials ... issues with specific payers is essential **_This is a Hybrid position working two days in the Lewisville, TX...for trends and issues and reports findings to supervisor + Bills or re-bills claims as necessary +… more