- Internal Revenue Service (Fresno, CA)
- …CAREERS? Visit us on the web at www.jobs.irs.gov Responsibilities WHAT IS THE APPEALS DIVISION? A description of the business units can be found at: ... Vacancies will be filled in the following specialty areas: Office of Appeals Case and Operations Support Account and Processing Support Special Programs AARS… more
- Universal Health Services (Bonham, TX)
- …TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing all insurance denials and prepare relevant ... regarding trends in denials. Demonstrate the ability to ensure accurate and timely appeals to third party payers in compliance with Managed Care contracts and… more
- Kansas Judicial Branch (Topeka, KS)
- Position number: K0075036 Location of Employment: Kansas Court of Appeals Kansas Judicial Center 301 SW 10th Avenue Topeka, KS 66612 Position/Salary and Benefits: ... Court of Appeals Research Attorney I Grade 42 starting salary: $...Hon. Sarah E. Warner of the Kansas Court of Appeals . A research attorney reviews the briefs and underlying… more
- TEKsystems (Plano, TX)
- Required: + 2+ years of Insurance follow-up, denials/ appeals experience (Medical A/R) + Hospital/facility collections experience Description: Responsible for A/R, ... Responsible for managing CBO Aging Report properly to insure appeals are followed up timely to prevent past filing...Responsible for timely medical records requests and submission of appeals * Maintain adequately trained staff to achieve daily… more
- Texas Health Resources (Arlington, TX)
- **Clinical Reviews, Denial and Appeals RN** **Work location:** Remote **Work hours:** Monday - Friday from 8:00am - 4:30pm **Clinical Review and Denials Department ... or InterQual criteria required + Case management experience preferred + Denials and Appeals experience preferred + RN license to practice in the state of Texas… more
- Trinity Health (Farmington Hills, MI)
- …as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves ... knowledge of state/federal laws as they relate to contracts and the appeals process. Investigates and addresses overpayment and underpayment accounts with the… more
- Henry Ford Health System (Troy, MI)
- …prompt and thorough investigation of medical, transportation, and pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare ... RESPONSIBILITIES:\ + Conduct the primary investigation and resolution of member appeals and grievances following established guidelines from: The Center for Medicaid… more
- Centers Plan for Healthy Living (Margate, FL)
- RN - Grievance and Appeals Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063, USA Req #461 Monday, June 3, 2024 Centers Plan for Healthy Living's goal is to ... Reviewer will handle expedited and standard requests and ensures that the appeals are processed in accordance with regulations, compliance standards and policy and… more
- Elevance Health (Cincinnati, OH)
- **Title: Grievances & Appeals Risk Analyst I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles ... of one of our PulsePoint locations. The **Grievances & Appeals Risk Analyst I** will be responsible for responding...with attorneys both internal and external in grievances and appeals regulatory cases. **Minimum Requirements** + HS diploma +… more
- Elevance Health (Indianapolis, IN)
- **Title: Grievances & Appeals Risk Analyst II** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles ... of one of our PulsePoint locations. The **Grievances & Appeals Risk Analyst II** will be responsible for providing...issues as needed. + Attends and represents Grievances & Appeals at appropriate legal proceedings and arbitration hearings under… more