- Veterans Affairs, Veterans Health Administration (Eagan, MN)
- …eligibility, service delivery, location, level of care discharge planning, appeals process, and performance improvement. Conducts comprehensive clinical reviews of ... level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a… more
- Florida Atlantic University (Boca Raton, FL)
- …and the Recruitment Scholarship Programs. + Recommend to the Director and Associate Director policies and procedures that are required to facilitate the ... presentations, assist at orientation and outreach programs as assigned by the Associate Director. Conduct scholarship workshops for incoming and current students. +… more
- City of New York (New York, NY)
- …Support - Handle all incoming and outgoing mail, including DDLs, correspondence, and appeals . - Answer and manage incoming phone calls in a professional and timely ... as needed. APPLICANTS MUST BE PERMANENT IN THE CLERICAL ASSOCIATE CIVIL SERVICE TITLE OR BE PERMANENT IN A...OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE. CLERICAL ASSOCIATE - 10251 Qualifications Qualification Requirements A four-year high… more
- Humana (Springfield, IL)
- …gaps in care and access. + Assists enrollees with filing grievances and appeals . + Provides information to enrollee related to MCO requirements, services, and ... may be required based on business needs. + **Language Assessment Statement:** Any Humana associate who speaks with a member in a language other than English must… more
- City of New York (New York, NY)
- …employee personnel files; obtain documentation and schedule meetings for evaluation appeals . - Compose agency-wide memos regarding rules and initiatives; create ... projects as needed. LEGAL SECRETARIAL ASST- L2,3,4 - 1022A Qualifications 1. An associate degree from an accredited college including or supplemented by 12 semester… more
- SCI Shared Resources, LLC (Houston, TX)
- …programs such as: Service Awards and Employee Discounts. + Responds to associate inquiries received through the Company's internal call center. + Manages annual ... and annual ACA review for benefits eligibility + Reviews 2nd level benefits appeals and provide recommended resolution to Benefits Manager in accordance with company… more
- Trinity Health (Livonia, MI)
- …(PBS) teams, when needed, to help resolve billing, claims, denials and appeals issues affecting reimbursement. Exhibits awareness of health record documentation or ... Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate 's degree in Health Information Technology or a related field or an… more
- Rush University Medical Center (Chicago, IL)
- …of a team, which includes the Senior Director and a Development Associate . This position will focus on executing fundraising initiatives, managing donor ... to align activities with organizational goals. * Supervise the Development Associate by providing guidance on administrative tasks, donor communications, and… more
- MVP Health Care (Schenectady, NY)
- …. **Qualifications you'll bring:** + Current and unrestricted NY, VT RN license. + Associate or bachelor's degree in nursing (BSN preferred). + Minimum 4 years of ... EMR systems and UM platforms. + Familiarity with CMS regulations and appeals processes. + Strong communication, conflict resolution, and organizational skills. +… more
- Performance Optimal Health (Stamford, CT)
- …up with insurance companies, patients, and internal staff. + Prepare and send appeals when claims are denied or underpaid. + Maintain complete and accurate patient ... and team meetings as required. Requirements + High school diploma or equivalent ( Associate degree preferred). + 2+ years of experience in medical billing, AR, or… more