- University of Washington (Seattle, WA)
- …and treatment in the phototherapy unit + Assist with prior authorizations and insurance appeals for specialty medications **REQUIREMENTS** + 2 years of current ... or recent ambulatory, acute care, or procedural nursing experience + Active licensure to work as a Registered Nurse in Washington State + Active BLS **ABOUT UW MEDICAL CENTER-MONTLAKE** UW Medical Center is an acute care academic medical center located in… more
- Emanate Health (Covina, CA)
- …from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals , collections) procedure and policies. Ability to ... communicate in a clear and professional manner, and must have good oral and written skills. Must have high time management and organizational skills, problem solving skills. Proficient in Microsoft word, excel, outlook and similar programs. c. Minimum License… more
- Evolent (Nashville, TN)
- …the mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Appeals and Grievances** at Evolent is responsible for reviewing and processing case ... rather than phone and fax activities. **Collaboration Opportunities** : The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as… more
- City of New York (New York, NY)
- …enthusiastic Trial Preparation Assistant, Level II (TPA II) to assist Appeals Bureau Assistant District Attorneys with post-conviction matters. JOB RESPONSIBILITIES: ... court - Help maintain and make entries in various Appeals Bureau databases - Perform all other duties as...New York offers a comprehensive benefits package including health insurance for the employee and his/her spouse or domestic… more
- Elevance Health (New York, NY)
- **Behavioral Health Medical Director-Psychiatrist Appeals ** **Location:** This role enables associates to work virtually full-time, with the exception of required ... Saturday rotation, once a month.** The **Behavioral Health Medical Director-Psychiatrist Appeals ** is responsible for the administration of behavioral health medical… more
- TEKsystems (Long Beach, CA)
- …current and additional information as it relates to Grievances and Appeals services. Utilizes department desktop procedures, workflows, job aids and training ... Diploma, Required 2 years of experience within grievances and appeals in a healthcare setting Experience Level Expert Level...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Appeals Specialist II, under the direction of the Director of Denial Support Services, logs and reviews per documentation guidelines for report ... **Essential Functions** + Responsible for review and resolution of pre pay insurance denials, correlating with the follow-up teams. + Works closely with Denial… more
- Humana (Olympia, WA)
- …Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- Humana (Topeka, KS)
- …Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- Covenant Health Inc. (Knoxville, TN)
- …/precert verification, registration, Health Information Management (HIM), coding, claims management/ insurance follow-up or appeals etc.). Will consider ... submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up… more
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