• Senior Consumer Frauds Representative or Consumer…

    New York State Civil Service (Albany, NY)
    …for distribution to callers and complainants. * Evaluates all incoming correspondence directed to the Health Care Bureau Helpline, identifies proper jurisdiction, ... and assigns routine correspondence to support staff. * Responds to inquiries, informs...rights, advises them of complaint filing procedures, assist with appeals /grievances, or refers them to other government or private… more
    New York State Civil Service (12/02/25)
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  • Care Management Navigator I

    Rush University Medical Center (Chicago, IL)
    …according to policy and procedures. + Prepare and deliver routine correspondence /medical records to referring agencies and primary care providers in accordance ... with policy. + Document all correspondence in electronic medical records as necessary. + Liaison...care transition referral communication. In collaboration with the case manager , provides referral and follow-up contacts to agencies, facilities… more
    Rush University Medical Center (11/03/25)
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  • Per Diem RN - Case Management - Sharp Grossmont…

    Sharp HealthCare (La Mesa, CA)
    …**Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered ... Nursing **Preferred Qualifications** + Bachelor's Degree in Nursing + Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED… more
    Sharp HealthCare (12/06/25)
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  • Medical Services Coordination Specialist I/II/III

    Excellus BlueCross BlueShield (Rochester, NY)
    …as needed. + Prepares and assists in handling member and provider correspondence related to authorization detail, disease conditions and/or care management program ... assigned to non-care managers are monitored by the care manager + The care manager provides feedback...programs + Provides administrative support to the grievance and appeals process within the + Medical Services department Level… more
    Excellus BlueCross BlueShield (10/21/25)
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  • Denials Resolution Specialist

    Addiction Recovery Care (Lexington, KY)
    …a paid status. + Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using ... the claim's denial function; identify issues/trends and provides feedback to Manager / Corporate Director Revenue Cycle. + Recognizes when additional assistance… more
    Addiction Recovery Care (12/04/25)
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  • Senior Financial Reimbursement Analyst

    Emory Healthcare/Emory University (Atlanta, GA)
    …and other components. They will monitor DCH and CMS reimbursement correspondence to communicate information and coordinate resolution of requested information, as ... needed. They will support the Reimbursement Manager with the review and analysis of both Centers...the preparation of the Medicare/Medicaid/Tricare cost reports, audits and appeals . + Gather data and complete the filing of… more
    Emory Healthcare/Emory University (12/05/25)
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  • Claims Adjuster - Texas Non-Subscription

    Baylor Scott & White Health (Dallas, TX)
    **JOB SUMMARY** Under the direct supervision of the Safe Choice Claims Manager the Claims Adjuster is responsible for the review, analysis and processing of assigned ... Responsibility for the preparation of summaries and files for denials, appeals , medical opinions, subrogation and litigation.1. Collection of documents and… more
    Baylor Scott & White Health (11/27/25)
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  • Legal Assistant II - MED & NMD

    State of Colorado (Lakewood, CO)
    …with the Attorney General's Office. Records Management + Works with records manager to support researching and responding to public records requests within the ... will be prorated. + Recommended attachments: Resume, Cover letter (Optional if Manager is requesting them) + List your employment history starting with the… more
    State of Colorado (11/22/25)
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  • Ops Accountant II

    MyFlorida (Port Charlotte, FL)
    …and in writing. + One year (1) employment experience preparing correspondence and documentation. + Computer proficiency and demonstrable experience in Microsoft ... and coordination of fiscal-related matters under the supervision of the Business Manager . + Monitors and ensures accurate census count with current payer source.… more
    MyFlorida (11/21/25)
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  • Assistant Attorney General 1-6 (Statewide)

    Louisiana Department of State Civil Service (LA)
    …presenting appellate cases in state and federal courts, directly handles select appeals , and coordinates the involvement of the Attorney General's Office with Amicus ... selected for this position. + Referred to the Hiring Manager for Review - Your application has been delivered...final disposition; + Perform legal research and draft pleadings, correspondence , or other documents in order to represent the… more
    Louisiana Department of State Civil Service (11/18/25)
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