- Houston Methodist (Houston, TX)
- …and monitoring the coding-specific clinical charges and denial management and appeals process in a collaborative environment with revenue cycle management and ... clinical subject matter expert related to coding denials and appeals . **PEOPLE ESSENTIAL FUNCTIONS** + Communicates openly in a...and determines the need for or feasibility of submitting appeals . + Works with revenue cycle management and staff… more
- MyFlorida (Fort Lauderdale, FL)
- …determinations received from claimants and employers or the Office of RA Appeals and the Reemployment Assistance Appeals Commission. Issues written ... records is maintained and available to the Office of RA Appeals for lower level appeals hearings. Required Knowledge, Skills, and Abilities: + Knowledge of the… more
- Baystate Health (Springfield, MA)
- …the Accounts Receivables Manager, Supervisor and Team Lead; identifies denials/ appeals , makes appropriate system changes, completes balance adjustments, initiates ... documents work-in-process, obtains materials to complete the collection and/or appeals process and mentors' colleagues. Other related duties as required.… more
- City and County of San Francisco (San Francisco, CA)
- …examination process is subject to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or the Civil Service Commission. ... Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'...position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s)… more
- City and County of San Francisco (San Francisco, CA)
- …Rule 211.16.1, candidates may appeal the administration of the examination components. All appeals must be filed in writing with the Department of Human Resources ... not be counted as the fifth (5th) calendar day. Appeals shall be limited as defined in Rule 211.16.1....may appeal the administration of the examination components. All appeals must be filed in writing with the Department… more
- Mohawk Valley Health System (Utica, NY)
- …throughout the medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as a liaison with payers ... prevent denials or carved out days when appropriate. Provide telephonic and written appeals as requested for commercial payors. + Perform reviews and appeals .… more
- MyFlorida (Orlando, FL)
- …determinations received from claimants and employers or the Office of RA Appeals and the Reemployment Assistance Appeals Commission. Issues written ... records is maintained and available to the Office of RA Appeals for lower level appeals hearings. Required Knowledge, Skills, and Abilities: + Knowledge of the… more
- Brooklyn Defender Services (Brooklyn, NY)
- …removal proceedings, complex applications before US Citizenship and Immigration Services, appeals before the Board of Immigration Appeals and federal ... noncitizen clients in detained and non-detained removal proceedings and immigration appeals . + Litigate issues including custody and bond, removability, and… more
- Robert Half Finance & Accounting (Asheville, NC)
- …a dedicated and detail-oriented individual with expertise in medical billing, appeals handling, and insurance claims management. The ideal candidate will bring ... ensuring timely action within contractual deadlines. * Manage the full appeals process, including initiation, tracking, monitoring, and documenting results. *… more
- New York State Civil Service (Albany, NY)
- …14 Corporate Woods City Albany State NY Zip Code 12211 Duties Description The NYSOH Appeals Unit is a unit of Hearing Officers who have jurisdiction to hear ... appeals from NY State of Health (Marketplace) applicants and...involving eligibility and enrollment in Marketplace programs. As an appeals adjudicator for the NY State of Health (Marketplace),… more