- 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
- 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
- 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
- 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
- MyFlorida (Port Charlotte, FL)
- …and in writing. + One year (1) employment experience preparing correspondence and documentation. + Computer proficiency and demonstrable experience in Microsoft ... and MFMP. POSITION DESCRIPTION: The incumbent will assist the Business Office Manager with the following duties: + Performs duties involving the independent… more
- Masonicare (Wallingford, CT)
- …claims processing. Brings problems and delinquent responses to the attention of Manager . Process- corrections - and generate- claims for re-processing. - - Reviews ... supporting information to receive- payment from payor. Work- under the direction of Manager to oversee timely collection- - -. - Maintains detailed claim history in… more
- 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
- 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
- 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
- HCA Healthcare (Manchester, NH)
- …emergency call schedule and records for call compensation payments. Manage correspondence between facility and individual medical staff members. Provide support ... Product (PSWP). 7. Risk Management Coordinate with the risk manager to review and evaluate an applicant's claims history...process in accordance with the facility's fair hearing and appeals policy as well as legal and regulatory requirements.… more