- LA Care Health Plan (Los Angeles, CA)
- …of the retrospective review process for authorizations and Member or Provider Appeals , including, but not limited to computer data entry, logging, copying, preparing ... nurses of a new case received from Grievance and Appeals Specialist.; submit all Grievances and Appeals ...and Appeals Specialist.; submit all Grievances and Appeals response letters to Grievances Specialist on daily basis.… more
- Albany Medical Center (Albany, NY)
- …securing revenue for services provided by Physicians of Albany Med by completing appeals , phone calls, and account review. This position is a Medical billing ... services provided by Physicians of Albany Med by completing appeals , phone calls, and account review. Qualifications: + High...Responsibilities: + Reviews charges and data for accuracy and appeals discrepancies in regards to CPT-4 and ICD-10 codes… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …IA Job Type Full-time Job Number 26-00542 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 08/28/2025 Closing Date 9/7/2025 11:59 PM Central ... + Questions Job Description The Iowa Department of Inspections, Appeals , and Licensing (DIAL) is seeking a highly motivated,...Employer State of Iowa Agency 427 Department of Inspections, Appeals & Licensing Address 6200 Park Avenue; Suite 1… more
- City and County of San Francisco (San Francisco, CA)
- …under Civil Service Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis' for establishing the position ... description, the minimum qualifications, and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific… more
- Ascension Health (Austin, TX)
- …Responsible for reviewing, investigating and resolving health-care claim payment appeals and communicating resolution/determination in accordance with the standards ... guidelines. + Responsible for the comprehensive research and resolution of claim appeals from health-care providers and related outside agencies to ensure that… more
- City of New York (New York, NY)
- …will provide legal advice to those veterans in need of representation for appeals regarding VA benefits. The role involves navigating complex laws, regulations, and ... file initial claims for disability, education, healthcare, and other benefits. - Appeals : Providing legal advice and coordinating referrals of clients to legal… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …cycle teams. The UM Analyst helps ensure regulatory compliance, timely appeals , and reduction of avoidable denials through proactive collaboration and data-driven ... Collaborate with UM staff to draft and submit compelling clinical appeals , including summaries and supporting documentation in accordance with payer-specific… more
- State of Colorado (Denver, CO)
- …of notice or acknowledgment of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State ... Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules. A standard appeal form… more
- State of Colorado (Denver, CO)
- …of notice or acknowledgment of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State ... Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules. A standard appeal form… more
- State of Colorado (Denver, CO)
- …of notice or acknowledgment of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State ... Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules. A standard appeal form… more