- Sharp HealthCare (San Diego, CA)
- …necessary for activities related to Medical Groups' Quality and Appeals processes. + Demonstrates knowledge of department policies and proceduresAuthorizes ... in IDX per Medical Group guidelines.Collaborates with Medical Group Appeals on members with SNF services under appeals... Appeals on members with SNF services under appeals process.Reviews SNF claims for medical necessity and appropriateness… more
- US Tech Solutions (May, OK)
- …and/or resolve coverage requests. Escalate issues to Coverage Determinations and Appeals Learning Advocates and management team as needed. Must maintain compliance ... needed. **Responsibilities:** + Utilizing multiple software systems to complete Medicare appeals case reviews + Meeting or exceeding government mandated timelines +… more
- HCA Healthcare (Plano, TX)
- …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If you are… more
- Texas State University (San Marcos, TX)
- Posting Information Posting Number2026134 Posting/Functional TitleProgram Specialist University Pay Plan TitleProgram Specialist LocationSan Marcos ... Experience with website creation, maintenance, and editing Job Description The Program Specialist in the School of Social Work supports students (especially graduate… more
- Billings Clinic (Billings, MT)
- …(https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Claims Specialist I/Government (Full-time) PATIENT FINANCIAL ... every two weeks (Non-Exempt) Starting Wage DOE: $17.00 - 21.25 The Claim Specialist 's main focus is to obtain maximum and appropriate reimbursement for all claims… more
- Amgen (Tampa, FL)
- …other innovative, driven professionals in this meaningful role. **Benefit Verification Specialist / Pt. Enrollment** **Live** **What you will do** Let's do this! ... development, and valuable opportunities! **Job Overview:** The Benefits Verification Specialist assists in enabling access to progressive therapies that improve… more
- State of Colorado (Denver, CO)
- FAMLI Premium & Wage Partners Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5153484) Apply FAMLI Premium & Wage Partners ... Specialist Salary $58,872.00 - $87,024.48 Annually Location Denver, CO...and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information For… more
- Air National Guard Units (Scott AFB, IL)
- …EXCEPTED SERVICE POSITION. This National Guard position is for a TRAFFIC MANAGEMENT SPECIALIST (TITLE 32), Position Description Number D2126000 and is part of the IL ... 126, National Guard. Responsibilities As a TRAFFIC MANAGEMENT SPECIALIST (TITLE 32), GS-2130-7/9, you will serve as a traffic management specialist performing… more
- City of Jacksonville (Jacksonville, FL)
- Social Services Specialist Print (https://www.governmentjobs.com/careers/jacksonvillefl/jobs/newprint/5152917) Apply Social Services Specialist Location ... Services Department is actively seeking one (1) Social Services Specialist . Did you know as a City of Jacksonville...applications for benefits, social services, and public assistance and appeals of denial of such benefits, services, or assistance.… more
- State of Colorado (Denver, CO)
- Emission Reduction Credit Specialist - PSRS I - HYBRID Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5151878) Apply Emission Reduction ... Credit Specialist - PSRS I - HYBRID Salary $69,024.00 -...and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, atspb.colorado.gov/board-rules. Supplemental Information A complete application… more