- BayCare Health System (Clearwater, FL)
- …must reside in Florida Equal Opportunity Employer Veterans/Disabled **Position** Intake Specialist Appeal and Grievance - Health Plan **Location** ... systems. + Ensure accurate and timely processing of all intake information according to company and regulatory standards. +...first point of contact for customers who wish to appeal decisions or file grievances, ensuring that their concerns… more
- LA Care Health Plan (Los Angeles, CA)
- …database inventory of referral authorizations, retrospective reviews, concurrent reviews and grievance / appeal requests, and prepares UM Activity and Weekly ... all due dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist .; submit all Grievances and Appeals response letters to… more
- LA Care Health Plan (Los Angeles, CA)
- …database inventory of referral authorizations, retrospective reviews, concurrent reviews and grievance / appeal requests, and prepares UM Activity and Weekly ... Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the… more