- 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 ... for the basic collection of unpaid third-party claims and standard appeals , using various JHM applications and JHU/ PBS billing applications. Communicates… 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 ... Financial Specialist I Human Resources Trainee Intermediate Board Specialist Management Assistant Operation Assistant Personnel Assistant Senior Board … more
- Robert Half Office Team (Miramar, FL)
- Description We are looking for a dedicated Customer Service Representative/Prior Authorizations/Clinical Appeals Specialist to join our team in Miramar, Florida. ... This contract position offers an exciting opportunity to provide outstanding support to customers through various communication channels, ensuring their needs are met efficiently and professionally. If you have a passion for delivering excellent service and… more
- State of Colorado (Denver, CO)
- Administrative Assistant II (Criminal Appeals ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5023135) Apply Administrative Assistant II ... (Criminal Appeals ) Salary $40,036.50 - $50,983.50 Annually Location Denver, CO...application will be reviewed by a qualified Human Resources Specialist to determine if you meet the minimum qualifications… more
- Molina Healthcare (GA)
- …request authorization. Strongly prefer candidates with a background in appeals and grievances. Excellent computer multi-tasking skills and good productivity ... office with internet connectivity of high speed required **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for … more
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA- Appeals & Grievances **Position Summary:** Appeals and Grievances Program Advisor monitors and supports the operations and compliance of the ... Appeals and Grievances department through many NCQA and other...+ Communicate and work collaboratively with AG Representatives, Resolution Specialist and Management to maintain and improve quality of… more
- Idaho Division of Human Resources (Boise, ID)
- COPP - Appeals /Hearings Technician Posting Begin Date: 2025/07/23 Posting End Date: 2025/08/06 Category: Corrections Sub Category: Records Management Work Type: Full ... of Pardons and Parole is currently accepting applications to fill a Hearing Specialist position. The successful candidate will be responsible for taking minutes for… more
- Hartford HealthCare (Farmington, CT)
- …other common practices across the system.*__* *_Position Summary:_* The Denial Specialist 2 is responsible for reviewing, analyzing, and appealing denials related ... Key responsibilities include timely investigation of DRG downgrades, submitting appeals , coordinating follow-up actions, and ensuring compliance with regulatory… more
- Johns Hopkins University (Middle River, MD)
- The Department of Pathology is seeking an **_AR Revenue Cycle Specialist III_** to be **r** esponsible for the collection of unpaid third-party claims and ... independent resolution of complex appeals , using various JHM applications and JHU/ PBS billing...Coordinator Job Posting Title (Working Title): AR Revenue Cycle Specialist III Role/Level/Range: ATO 40/E/02/OE Starting Salary Range: $18.20… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration with clinical team...and denials for no authorization. The Senior Denials Management Specialist position communicates clinical information utilizing various resources and… more