- University of Utah (Salt Lake City, UT)
- …Administration during an investigation. Serves as a support and a resource during appeals or other University hearing processes. 6. Manages and prepares OEO files ... **Department may hire employee at one of the following job levels:** **Compliance Specialist , IV:** Requires a bachelor's (or equivalency) + 8 years or a master's… more
- BrightSpring Health Services (Valdosta, GA)
- …claim denials, exceptions, or exclusions. + Maintain open communication with Billing Specialist , Cash Application Analyst and Operations. + Send cash transfer & ... with State Billing Portal sites, preferred. + Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement preferred. +… more
- Mount Sinai Health System (New York, NY)
- …(eg, Medical Staff Bylaws, Policies, Corrective Actions, FPPE, OPPE, Hearing & Appeals , etc.) is required. + 10+ years progressive experience in an academic ... preferred. **Minimum Certification Requirements** + NAMSS Certified Provider Credentialing Specialist (CPCS), Required + NAMSS Certified Professional Medical Services… more
- Commonwealth Care Alliance (Boston, MA)
- …provider community. In this highly visible field position, the provider relations specialist acts as the primary liaison between CCA and its providers including ... Referral and authorization; Regulatory compliance; Billing and payments; Complaints and appeals ; Policies and procedures. + Identify opportunities for training and… more
- University of Rochester (Rochester, NY)
- …company barriers and tracking all assistance provided. Accountable for planning, execution, appeals and efficient follow through on all aspects of the process which ... functionality required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to insurance or… more
- Toyota (San Juan, PR)
- …re-leveling (ie job evaluations/in-job upgrades). Make preliminary job level estimate for Support, Specialist and Analyst jobs (Job Levels 8 - 16) to determine if ... internally equitable job level, and to finalize and communicate recommendations. Manage appeals process, as appropriate. Follow through until request is resolved and… more
- City of New York (New York, NY)
- …Independence Administration (FIA) is recruiting for one (1) Administrative Job Opportunity Specialist NM I, to function as Benefit Access Center Deputy Director, who ... involved in the resolution of matters relating to public assistance client appeals , ensuring that Agency's requirements are met for opening, reopening, denial,… more
- Federal Reserve Bank (Newark, NJ)
- …and non-qualified plans + Research and respond to complex participant issues and appeals + Direct activities related to procurement, audits and vendor management for ... credentials include Qualified Pension Administrator (QPA), Certified Employee Benefits Specialist (CEBS), and experience with federal benefit programs such as… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …than the sum of its parts. Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access to essential medications! We seek a ... and alternative resources. + Assists in obtaining insurance approvals/denials and/or appeals for therapy. Assists patients and HCP with processing applications for… more
- Access Dubuque (Dubuque, IA)
- …Director on special Zoom requirements or technology needs. + Facilitate Development appeals , maintain mailing lists and track responses. + Support the planning of ... Manager of Communications and Marketing Dubuque Museum Of Art Marketing Specialist Sedona Staffing Services Regional Customer Service Officer Fidelity Bank &… more