- Iowa Department of Administrative Services (Marshalltown, IA)
- …components to RESEA participants during all RESEA appointments. You will review unemployment insurance (UI) claim status with the claimant and refer any claim issues ... claim in accordance with all UI laws. Provide information to customers for UI appeals when necessary and participate in all UI appeal hearings relating to issued… more
- J&J Family of Companies (Santa Clara, CA)
- …+ Provide one-on-one and group training on prior authorization, claim submission, appeals , and payment processes. + Identify, triage, and resolve access barriers in ... in Business, Economics, or a health-related subject. + Experience in healthcare, insurance , and/or reimbursement field with emphasis on coding, coverage, and payment… more
- Iowa Department of Administrative Services (Wapello, IA)
- …policy. + Develop and maintain a log of complaints, receipt of service, appeals , "whistle blowers", and Farm Service Agency (FSA) county committee status reviews if ... + Low out of pocket, high quality family medical insurance as low as $205.00 per month, single as...single as low as $61.00 per month + Dental insurance is free for single and $46.00 per month… more
- St. Luke's Health System (Boise, ID)
- …advocates, the pharmacy authorization team, clinic staff, and providers. Issues insurance overrides and processes prior authorizations. **What to expect:** + ... while processing specialty medications. + Provide customer service and explain complex insurance topics to patients and providers. + Apply working knowledge of … more
- University of Rochester (Rochester, NY)
- …include but are not limited to researching, correcting, resubmitting claims, submitting appeals and taking timely and routine action to resolve unpaid claims. The ... policies and procedures and maintains and exercises thorough knowledge of insurance company billing requirements and regulations to research and resolve unpaid… more
- Modivcare (Charleston, WV)
- …authorizations for transportation services by coordinating with healthcare providers and insurance entities. + Processes CMMNAs and/or LMN requests in accordance ... with procedural requirements. + Coordinates fair hearings and denial appeals , collaborating with stakeholders to resolve issues efficiently. + Manages spend-down… more
- City of Jacksonville (Jacksonville, FL)
- …off during your first year of employment? Do you want low and no cost health insurance options? If you answered "yes" to any of these questions, you need to complete ... personal leave day as well? In addition to health insurance , dental, vision, life insurance and flexible...cases, hearings and at various internal board hearings and appeals . + Attends meetings of the City Council, boards,… more
- University of Rochester (Albany, NY)
- …of claims. Collaborate with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies. + 10% Keeps management ... policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid… more
- Northwell Health (Lake Success, NY)
- …with extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our external client, a world leading ... center, located in Manhattan, NY. The company provides incredible benefits with health insurance premiums as low as $1 per paycheck and generous paid time off.… more
- Sanford Health (Rapid City, SD)
- …interaction with payers. Additional duties include management of medical denials, appeals , and grievances. Understand and provide insight into evaluating current ... employees. Depending on eligibility, a variety of benefits include health insurance , dental insurance , vision insurance , life insurance , a 401(k)… more
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