- Evolent (Des Moines, IA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator ** **,** ** Appeals and Grievances** at Evolent will serve as a point ... of contact for processing post determination reviews and appeals requests in accordance with departmental policies, regulatory requirements, and client contractual… more
- Elevance Health (Marshalltown, IA)
- **LTSS Service Coordinator ** _Location:_ Candidate would need to meet face to face with patients in and around the following counties. Candidate will be assigned a ... an accommodation is granted as required by law._ The **LTSS Service Coordinator ** is responsible for conducting service coordination functions for a defined caseload… more
- Cardinal Health (Des Moines, IA)
- …* Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals , etc. All avenues to obtain coverage for the product must be ... fully exhausted * Track any payer/plan issues and report any changes, updates, or trends to management * Search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation * Handle all… more
- Intermountain Health (Des Moines, IA)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... staff. This Coordinator serves as a subject matter expert for all...compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades… more
- Access Dubuque (Dubuque, IA)
- …to internal processing guidelines. + Assist in review and resolution of complaints, appeals and grievances as needed. + Complete all additional assigned projects and ... & Butler/ SISCO Insurance Representative Medical Associates Member Services Coordinator Cottingham & Butler/ SISCO Client Service Representative Cottingham &… more