- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will...Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and… more
- Molina Healthcare (Omaha, NE)
- …hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** **Job Summary** Responsible for reviewing and resolving member ... appeals and communicating resolution to members and provider (or...Responsible for the comprehensive research and resolution of the appeals , dispute, grievances, and/or complaints from Molina members, providers… more
- Molina Healthcare (Caldwell, ID)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine Provider No Surprises Act ... + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including coordination… more
- Texas A&M University System (College Station, TX)
- …organization for resolution. This position manages and investigates employee complaints and appeals . The specialist will develop, implement, and oversee current ... Job Title Employee Relations Specialist Agency Texas A&M Engineering Extension Service Department...Station, Texas Job Type Staff Job Description Employee Relations Specialist $6,065.93 per month 1 Position College Station, Texas… more
- Kilgore College (Kilgore, TX)
- …This position serves as the initial contact for student aid recipients concerning the entire financial aid process; is responsible for daily professional interaction ... with students/parents, faculty/staff, other school officials; scans & links documents in the document imaging system for electronic processing; serves as first line of communications between staff, students, and the community at the Kilgore College - Longview… more
- TEKsystems (Reston, VA)
- Description PURPOSE: The Appeals Specialist II will be responsible for the initial intake analysis of appeals /grievances correspondence and determination of ... collecting organizing and tracking information to facilitate and expedite processing of appeals and grievances received from a variety of sources. Responsible for… more
- R1 RCM (Salt Lake City, UT)
- …questions and obtain appropriate information in pursuit of resolving unpaid claims. Appeals Specialist incumbents must be assessed as being resourceful and ... went wrong, and keeps staff educated on all current trends in the appeals arena. Utilizes computer systems/programs, processes, policies and procedures as they apply… more
- The County of Los Angeles (Los Angeles, CA)
- …Accountant I Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services ... Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services Assistant I Financial… more
- State of Arkansas (AR)
- …for manager, legal and appeals tribunal for hearings. Attend hearings and appeals related to each tax specialist 's 515 account. Research and remove any ... appeals tribunal for hearings. + Attend hearings and appeals related to each tax specialist 's 515 account. + Research and remove duplicate wages that were… more
- Johns Hopkins University (Middle River, MD)
- …edits reports, file or pull EOB batches. + Identifies and escalates non-standard appeals to a higher-level specialist . + Informs the supervisor / Production ... We are seeking an **_AR Revenue Cycle Specialist III_** who will be responsible for the...the basic collection of unpaid third-party claims and standard appeals , using various JHM applications and JHU/ PBS billing… more