- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …* Identifies opportunities for connecting members to group related benefits; eg Nurse Line, Employee Assistance Program, or other specialists with in BCBS Health ... of the department. * Guides member through the Prior Authorization and Appeals process. * Engage providers telephonically in reviewing and understanding treatment… more
- Access Dubuque (Dubuque, IA)
- …billing issues. Handling EOB's, submitting physician notes for protests and appeals , resubmitting corrected HCFA's, protesting denials and follow-up to ensure the ... Services UnityPoint Health Finley Hospital Surgical Services RN - Registered Nurse MercyOne Service Representative - Licensed Cottingham & Butler/ SISCO Client… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and provide ongoing ... including but not limited to development of standards, insurance company appeals and teleconferences and provision of prior authorization information; e.… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and provide ongoing ... including but not limited to development of standards, insurance company appeals and teleconferences and provision of prior authorization information; +… more
- Texas Health Resources (Arlington, TX)
- …financial data (eg, LOS data, avoidable days, adverse determinations, and denials/ appeals ) and makes recommendations to improve performance. Achieves and maintains ... of supervisory and leadership experience Required Licenses and Certifications RN - Registered Nurse Upon Hire Required Or LMSW - Licensed Master Social Worker Upon… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …and Family Therapist, Licensed Substance Abuse Treatment Practitioner or Licensed Nurse Practitioner. + In addition, to recognize and reinforce the importance ... clients; + Prepares appeal documents and may represent the agency in administrative appeals filed by clients; + Determines client's employment needs in order to… more
- Virtua Health (Moorestown, NJ)
- …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... testing results coordination, as well as pre-certification/insurance status and appeals .Coordinates the administrative flow of the patient experience.Reports directly… more
- City and County of San Francisco (San Francisco, CA)
- …required. ** Under the direction of a licensed physician, registered nurse , or clinical supervisor, the Psychiatric Technician performs professional therapeutic ... The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S… more
- City and County of San Francisco (San Francisco, CA)
- …General Hospital and Trauma Center.** Under direct supervision of a licensed nurse , the Certified Nursing Assistant (CNA) performs a variety of routine duties ... The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S… more
- Saint Francis Health System (Tulsa, OK)
- …Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or Professional Counselor (LPC) ... delegation standards established by the managed care contracts. Investigates and prepares appeals for insurance companies, when denial of reimbursement is related to… more