- City of Coral Gables, FL (Coral Gables, FL)
- …in the daily implementation of activities related to the National Flood Insurance Program (NFIP). Oversees management of elevation certificate files and ensures that ... Florida and the Miami-Dade County Board of Rules and Appeals as a Certified Building Official and licensed as...accordance with the City's Personnel Rules & Regulations. HEALTH INSURANCE : Fully paid by the City (HMO Select). Coverage… more
- CareFirst (Baltimore, MD)
- … insurance underwriting services by evaluating exceptions and appeals ; reviewing reinsurance arrangements; auditing risk acceptability, new applications, declined ... scheduling expenditures; analyzing variances; initiating corrective actions. + Completes insurance underwriting by evaluating exceptions and appeals ; reviewing… more
- Fallon Health (Worcester, MA)
- …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance with… more
- Rochester Regional Health (Rochester, NY)
- …patient documentation, + Responsible for the timely completion and submission of insurance authorization request and denial appeals . + Conducts quality audits ... of patient records and processes + Provides initial and ongoing assessment for clients in order to determine diagnosis and appropriate level of care. + Provides individual, family and group counseling, which engages and motivates clients throughout treatment.… more
- State of Massachusetts (Boston, MA)
- …organizations, such as the Appellate Tax Board, the Division of Administrative Law Appeals , the Group Insurance Commission and others. /*_About the Position_*/ ... The A&F CFO is the senior professional charged with financial oversight and execution for the Executive Office for Administration & Finance, which is an organization of over 180 people organized as the Office of the Secretary, Budgeting and Legal teams, and… more
- Rochester Regional Health (Rochester, NY)
- …patient documentation. + Responsible for the timely completion and submission of insurance authorization request and denial appeals . + Conducts quality audits ... of patient records and processes. + Provides initial and ongoing assessment for clients in order to determine diagnosis and appropriate level of care. + Provides individual, family and group counseling, which engages and motivates clients throughout treatment.… more
- Guidehouse (San Marcos, CA)
- …from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service ... Required** **:** None **What You Will Do** **:** The ** Insurance Patient Account Representative - Hospital A/R Emphasis** is...+ 1+ year's medical provider experience working with UB04, appeals & denials. + Hospital or EOB claims emphasis… more
- Akumin (FL)
- …Initiate follow-up with insurance companies for payments of pending claims. + Appeals denied claims with insurance carriers. + Research credit balances to ... of all claims as needed, including correction of missing/inaccurate data, and appeals of denied claims with appropriate documentation for processing and payment.… more
- Select Medical (Harrisburg, PA)
- … insurance approvals and authorizations, as well as facilitating appeals for patients + Demonstrates positive referrer satisfaction and account retention. ... experience in a related position preferred. + Experience with insurance approvals, prior authorizations, and the appeals ...with insurance approvals, prior authorizations, and the appeals process. + Experience in workers' compensation is a… more
- Fallon Health (Worcester, MA)
- …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... on Facebook, Twitter and LinkedIn. **Brief summary or purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance with… more
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