- Molina Healthcare (Racine, WI)
- …and contractual guidelines. + Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. + ... improvement. **Skills & Competencies** + Proven experience handling provider disputes, appeals , and overpayment recoveries in a managed care or payer environment.… more
- City and County of San Francisco (San Francisco, CA)
- …candidates must be insurable under the Port's automobile liability insurance policy. Insurability must be maintained throughout employment. Supplemental ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- Manulife (ME)
- …research projects pertaining to risk assessment. + Process formal underwriting appeals and complaints. + Review underwriting fraud referrals for appropriateness and ... expert for more junior colleagues and management. + Process formal underwriting appeals and complaints. + Manage underwriting fraud referrals for appropriateness and… more
- City and County of San Francisco (San Francisco, CA)
- …candidates must be insurable under the Port's automobile liability insurance policy. Insurability must be maintained throughout employment. Supplemental ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- City and County of San Francisco (San Francisco, CA)
- …candidates must be insurable under the Port's automobile liability insurance policy. Insurability must be maintained throughout employment. Supplemental ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- City and County of San Francisco (San Francisco, CA)
- …candidates must be insurable under the Port's automobile liability insurance policy. Insurability must be maintained throughout employment. Supplemental ... to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Number ORSS-216320-11226KK Department Louisiana Works Division Office of Unemployment Insurance Administration Opening Date 01/12/2026 Closing Date 1/17/2026 11:59 ... + Benefits + Questions About this Job ORS Supervisor Office of Unemployment Insurance Division: UI BAT Office of Unemployment Insurance Administration (OUIA)… more
- UNC Health Care (Durham, NC)
- …responding to appeals and presenting case at hearings. 2. Contact insurance carriers to obtain authorizations and referral approvals for services and procedures. ... of complex duties in support of reimbursement from patients and insurance carriers. Responsibilities: 1. Collect delinquent account payments from patients and… more
- Dartmouth Health (Lebanon, NH)
- …that include Patient Access Management, Patient Resource Management, Insurance Authorization Management, Grant Management, Compliance Management, Patient Financial ... eliminates barriers to transplant at DH by counseling patients with out-of-network insurance on in network options. Assists with enrollment as necessary. Facilitates… more
- UNC Health Care (Chapel Hill, NC)
- …for the accurate and timely submission of claims follow up, reconsideration and appeals , response to denials, and re-bills of insurance claims, and all ... a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and/or claim denials. +… more