- BrightSpring Health Services (Lexington, KY)
- …issues. Refer all unresolved issues to the next level including grievance and appeals . + Actively market plan to new senior care partners within plan Service ... Other special projects and duties, as assigned. Qualifications + Two-year associate /technical degree, bachelor's degree or experience with direct sales and… more
- State of Indiana (Indianapolis, IN)
- …years of experience since licensure, this position will be classified as Attorney Associate and traditionally starts at an annual salary of $67,314. For attorneys ... and/or litigation; + May review pleadings, motions, and discovery; + May draft appeals or briefs, or perform legal writing assignments. The job description is not… more
- MVP Health Care (Tarrytown, NY)
- …**Qualifications you'll bring:** + Current and unrestricted NY & VT RN licensure + Associate or bachelor's degree in nursing (BSN preferred) + Minimum 3 years of ... record (EMR) systems and UM platforms. + Familiarity with CMS regulations and appeals processes. + Ability to work independently and manage multiple priorities. +… more
- Kelly Services (Glastonbury, CT)
- …delivery standards are met + Process medical payments and support client appeals processes + Maintain accurate financial records and assist with batch processing ... + **Language:** Must be bilingual in Spanish and English + **Education:** Associate 's degree (AA / AS) preferred, or equivalent work experience + **Experience:**… more
- Illumination Foundation (Santa Ana, CA)
- …rejected or denied claims and conduct proper follow up procedures (Escalations/ Appeals /Claim corrections) + Monitor and maintain county aging and escalating trends, ... with health networks + Proficiency in Microsoft (Mail, Word, Excel, Calendar). + Associate 's degree or higher + Medical Billing Certificate + Experience in Medical… more
- UHS (Johnson City, NY)
- …the Reimbursement and Compliance teams by assisting in the reconsideration and appeals process for denied claims + Collaborates with clinical and administrative ... Qualifications Minimum Required: + High School Diploma or equivalent Preferred: + Associate degree in Accounting or similar + Previous experience in billing and… more
- Centene Corporation (Jefferson City, MO)
- …+ Triages and resolves escalated health plan, Claims department, and provider inquires/ appeals or issues + Cross communication with IT, health plans, vendors, and ... as assigned + Complies with all policies and standards **Education/Experience:** Associate 's Degree in Medical Billing and Coding, Healthcare or related field,… more
- Commonwealth Care Alliance (Boston, MA)
- …hours each day in a distraction free environment. Required Education: * Associate 's degree or equivalent experience. Desired Education: A bachelor's degree in any ... setting preferred * Prior experience with service authorizations, grievances and appeals , scheduling medical appointments preferred * Ability to work with multiple… more
- McLaren Health Care (Grand Blanc, MI)
- …metrics, and key performance indicators (KPIs). **Qualifications:** **_Required:_** + Associate 's degree in nursing or healthcare related field **.** Current ... **4 years of utilization management, case management, clinical documentation, and/or denials/ appeals experience in an acute healthcare facility** **.** American Case… more
- Kohl's (New York, NY)
- …or a large brand, crafting an assortment that aligns with brand positioning and appeals to the target customer. What You'll Do + Build, create and maintain tech ... more), SAVINGS & RETIREMENT BENEFITS (401k, Flexible Spending Accounts and associate discount programs with Kohl's partners), INSURANCE PROGRAMS (Life Insurance for… more