- Robert Half Legal (Mountlake Terrace, WA)
- …Robert Half is partnering with a Healthcare Organization searching for their next appeals specialist . This is an excellent opportunity for a motivated ... professional who thrives in a fast-paced environment. They are looking for someone to join ASAP! Location: Remote Pay Rate: $21-23 per hour Duration: 3+ months potential for extension Schedule: M-F, 8am-5pm Responsibilities: + Research, coordinate, and resolve… more
- Molina Healthcare (Bellevue, WA)
- …and Marketplace benefits and services including reviewing and resolving member appeals and complaints, then communicating resolution to members or authorized ... **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances, and/or complaints from Molina members, providers, and… more
- Molina Healthcare (Bellevue, WA)
- …Services (CMS). **Essential Job Duties** * Enters denials and requests for appeals into information system and prepares documentation for further review. * ... systems and other available resources. * Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines. * Requests and obtains… more
- Molina Healthcare (Spokane, WA)
- …+ Responsible for the comprehensive research and resolution of the appeals , dispute, grievances, and/or complaints from Molina members, providers and related ... ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes.… more
- Molina Healthcare (Tacoma, WA)
- …* At least 2 years of managed care experience in a call center, appeals , and/or claims environment, or equivalent combination of relevant education and experience. * ... and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and… more
- Molina Healthcare (Tacoma, WA)
- **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests ... strategy to provide quality and cost-effective member care. Candidates with UM and Appeals experience are highly preferred Work hours: Monday- Friday 8:00am - 5:00pm… more
- University of Washington (Seattle, WA)
- **Job Description** **POSITION PURPOSE** The Academic Progress and Case Specialist serves as the program administrator responsible for the overall management, policy ... governance processes related to medical student academic progress, conduct, and appeals . The SPC provides oversight of student academic performance and/or conduct… more
- Spokane County (Spokane, WA)
- Property Information Specialist (OPEN & PROMOTIONAL) Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/5139081) Apply Property ... Information Specialist (OPEN & PROMOTIONAL) Salary $42,081.00 - $58,617.00 Annually...Spokane County Board of Equalization, State Board of Tax Appeals , and Superior Court. + Determines penalties in delinquent… more
- Federal Emergency Management Agency (Bothell, WA)
- …What will I do in this position if hired? In this Emergency Management Specialist (Recovery) position, you will serve as member of the Fire Management Assistance ... fire season. Writing and/or editing technical materials, including determination memos, appeals and audits, reports of research findings, and policy, regulations in… more
- Seattle Children's (Seattle, WA)
- …coding and documentation compliance. **Required Credentials** Certified Coding Specialist -Physician Based (CCS-P) certification by the American Health Information ... Experience in revenue cycle functions, including coding denial management and appeals process. Experience in research of payer policy and coding guidelines.… more