- Adecco US, Inc. (Grand Rapids, MI)
- **Job Title:** Field Reimbursement Manager (FRM) - Remote with Territory Travel **Location:** Remote - Must reside within Northern Michigan area **Travel:** Up to ... automobile or air **Position Overview** We are seeking a **Field Reimbursement Manager (FRM)** to support access and reimbursement services for a specialty… more
- Turner & Townsend (Los Angeles, CA)
- …true to the client's vision. **Job Description** **Objective:** The Safety Program Manager will serve as the on-site representative for the Director of Automated ... with federal, state, and local regulations where applicable. The Safety Program Manager will be responsible for evaluating technical and safety compliance and… more
- Graybar (Chesterfield, MO)
- Become part of the excitement. As the Manager , Health and Welfare Plan Administration, you will manage the operational requirements of the relevant benefits plans at ... and ensure plans follow governmental requirements for claims and appeals ( FAS 106, FAS 125, HIPPA, 5500s, etc.)....Days** to spend time away from work or in case of an illness. + Rest and recharge during… more
- City of New York (New York, NY)
- …obtaining federal disability benefits or employment by providing assessment, case management, wellness planning, rehabilitation services, job placement and retention ... to treatment and application assistance with the federal disability application and appeals processes as appropriate. Under the general direction of the Director of… more
- CareFirst (Baltimore, MD)
- …for authorization of services and approved claims. + Prepares retrospective reviews, case appeals , billing coordination, and clinical support. + Manages the ... hired at the top of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to experience, internal equity, and… more
- Beth Israel Lahey Health (Burlington, MA)
- …in the context of other Revenue Cycle functions such as Denials & Appeals , Patient Access, Authorization Management & review, HIM, Coding & Billing. Close ... experience, including experience in a leadership role. Two years of case management or utilization management experience desirable. **Key Relationships:** **Position… more
- Hunterdon Health Care System (Flemington, NJ)
- …are received within their areas. + Works with Dept. Leads, Leadership, Case Management and Revenue Integrity to ensure that the appropriate insurance information ... master charge master file. + Tracks AR days, denials, appeals , and recommends policy and procedure changes to reduce...in the billing process including the Billing Dept., HIM, Case Management and all other respective Hospital depts. +… more
- State of Minnesota (St. Paul, MN)
- …join a legal team making a difference for Minnesotans! Reporting to the Paid Leave Appeals Manager , you're key to the overall success of our division. **Key ... + **Division/Unit** : Paid Family & Medical Leave / Appeals Hearings Unit + **Work Shift/Work Hours** : Day...public trust + Ability to learn and use a case management system and other technological tools and applications,… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... NICE TO HAVE skill sets/qualities: Utilization management experience and /or Appeals experience /strong clinical skills Behavioral Health or infusion therapy… more
- Baptist Memorial (Memphis, TN)
- …appeal process. + Works closely with physician advisor for assistance with medically complex case appeals , hearings, or level of care issues. + Reports denial ... follows the account throughout the entire appeal process and determines if escalation to manager or payer is next step to get a favorable outcome. Specialist may be… more
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