- 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
- OhioHealth (Columbus, OH)
- …updates. CGS audits and auditors Working with our legal vendor for Medicare Appeals . Working with OHA and CBSA facilities on wage index opportunities Special ... extended to all person in all aspects of the associate -employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline,… more
- Rochester Regional Health (Rochester, NY)
- …the medical management department in the tracking, trending and reporting of appeals and charge recovery information. + Conducts reviews of cost outliers and ... etc. + Performs other duties as required PREFERRED QUALIFICATIONS + Associate 's degree preferred. + Experience working in a healthcare administrative office… more
- BrightSpring Health Services (Valdosta, GA)
- …billing and cash processes. Qualifications + High School diploma or equivalent, Associate 's degree or higher preferred. + At least 2 years healthcare billing, ... with State Billing Portal sites, preferred. + Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement preferred. +… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …BCBSMA guidelines, policy and procedures, and claims system edits. Conducts provider appeals and consults with medical director when necessary. Analyzes trends and ... we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance… more
- HD Supply (Atlanta, GA)
- …with regulatory agencies regarding citations, violation notices, informal conferences, appeals , submittals, permit renewals, inspections, and corrective actions. + ... a culture that promotes equity, respect, and advocacy for every HD Supply associate . We value the diversity of our people. **Equal Employment Opportunity** HD Supply… more
- State of Massachusetts (Boston, MA)
- …appropriate recommendations and to notify appellants and other appropriate parties of appeals decisions. * Conducts both informal and formal quality reviews of the ... combination of the required experience and the substitutions below. Substitutions: An Associate 's or higher degree may be substituted for the required experience.*… more
- Rochester Regional Health (Rochester, NY)
- …hospital and payors, ensuring accurate communication of clinical information, supporting appeals , and optimizing benefit use. + Collaborates with care teams to ... REQUIRED QUALIFICATIONS: + Diploma from an accredited nursing school program or Associate 's Degree + 3 years acute hospital care experience + Licensed in… more
- HCA Healthcare (Manchester, NH)
- …actions). Facilitate due process in accordance with the facility's fair hearing and appeals policy as well as legal and regulatory requirements. In accordance with ... well has HCA Healthcare policy. EDUCATIONHigh School diploma or equivalent required. Associate Degree or higher preferred. EXPERIENCEAt least one (1) year previous… more