- Methodist Health System (Dallas, TX)
- …Manager in this role is responsible for of the oversight of 16-20 AR Specialist and a Team Lead. Setting and achieving performance goals by fostering teamwork, ... and maximum reimbursement for multi-specialty physician services. + Directs the appeals and reconsideration process, including root cause analysis, persuasive appeal… more
- Trinity Health (Livonia, MI)
- …(PBS) teams, when needed, to help resolve billing, claims, denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as appropriate for coding ... Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required. Page 3 3. Three (3) years of… more
- Tarleton State University (Fort Worth, TX)
- …technology, and office space. + Reporting: Work with the university budget specialist for record keeping and university reporting. Academic Program Development and ... rigor of classes and programs; mediate departmental processes for student academic appeals . + Recruitment: Work with the Division of Enrollment Management and the… more
- Children's Mercy Kansas City (Kansas City, MO)
- …the work of Nurse Case Managers, Social Workers, and Utilization Review specialist team members and support staff + Analyzes, evaluates, and recommends operational ... + Monitors and evaluates decisioning making by tracking and assessing overturned appeals , physician decision trends related to level of care and status, and… more
- Evolent (Helena, MT)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …resolution of facts and issues in matters affecting disciplinary actions, grievances, appeals , and complaints, refers complex matters to HR Employee Relations ... Specialist or Senior Manager of Employee Relations as required + Participates in training employees and managers in HR Policy, Compliance, and best practices + Is a… more
- State of Colorado (Denver, CO)
- …and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules. Supplemental Information HOW TO ... marital status. Your application will be reviewed by a qualified Human Resources Specialist to determine if you meet the minimum qualifications for this position. If… more
- BrightStar Care (Naples, FL)
- …We are looking for the an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of billing and payroll.. Managing ... Authorizations , appeals and re- submission of claims . Posting cash etc. Must be detail oriented and organized . Ability to work in a fast paced environment and can… more
- Adecco US, Inc. (Columbus, OH)
- …with Benefit Investigations, Prior Authorizations, Claims Assistance, and Appeals . + Deliver reimbursement support, account management, billing/coding updates, ... - 5:00 pm (Remote with 80% travel) + Weekly paycheck + Dedicated Onboarding Specialist & Recruiter + Access to Adecco's Aspire Academy with thousands of free… more
- Children's Clinics (Tucson, AZ)
- …philanthropic support + Collaborate with the Development and Communications Specialist to produce compelling donor-facing communications, case statements, campaign ... reports + Direct the annual fund strategy and oversee execution, including appeals , donor segmentation, acknowledgments, and donor retention activities + Guide the… more