• Transplant Contract Specialist Managed Care

    AdventHealth (Maitland, FL)
    …you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance , Life Insurance , Disability Insurance + Paid Time Off from Day ... information requested by payer is provided in a timely manner. + Assists with appeals and disputes of outcomes then reviews and forwards the decisions of these… more
    AdventHealth (01/16/26)
    - Related Jobs

  • Inpatient Coding Auditor

    AdventHealth (Maitland, FL)
    …you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance , Life Insurance , Disability Insurance + Paid Time Off from Day ... with physicians and allied health personnel. Assists with writing compelling appeals to all DRG denials from outside agencies, referencing Official Coding… more
    AdventHealth (01/16/26)
    - Related Jobs

  • UM Outpatient Clinical Review Nurse, Health New…

    Baystate Health (Springfield, MA)
    …of members, as appropriate + Performs clinical reviews for member and provider appeals related tooutpatient services + Participates in the weekend call program, as ... + Excellent Compensation High-quality, low-cost medical, dental and vision insurance + Generous PTO + Continuing education support and...and financial health + Pet, home, auto and personal insurance + Life insurance + Reimbursement for… more
    Baystate Health (01/15/26)
    - Related Jobs

  • Dynamics / Microsoft Platform Architect

    System One (Dayton, OH)
    …module, performance trying of ADF pipelines, expansion of Dynamics to appeals processes(migration from Salesforce or other applications to Dynamics) Overview Our ... data models, security, and role-based access + Experience in health insurance or regulated healthcare environments + Proven experience integrating Dynamics with… more
    System One (01/15/26)
    - Related Jobs

  • Billing Clerk Intermediate

    University of Michigan (Ann Arbor, MI)
    …+ Support staff with tasks such as payroll deductions, guarantor changes, and insurance updates. **Charge and Work Queue Management** + Review and correct charge ... point of contact for clinic staff, patients, and families regarding billing and insurance inquiries. + Obtain post-service authorizations and assist with appeals … more
    University of Michigan (01/14/26)
    - Related Jobs

  • Clm Resltion Rep IV, Hosp/Prv

    University of Rochester (Rochester, NY)
    …closure and obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. ... to follow up on disputed, unpaid, underpaid, or overpaid insurance or contracted service accounts in order to bring...for in-person meetings and phone conferences with third party insurance representatives due to claim and system issues requiring… more
    University of Rochester (01/14/26)
    - Related Jobs

  • Human Services Program Specialist - MED

    Idaho Division of Human Resources (Boise, ID)
    …parental leave (https://dhr.idaho.gov/information-for-state-employees/) + Medical, vision, and dental insurance benefits that become effective first of the month ... and Roth options + Deferred compensation plan + Life insurance for self, spouse, and children + Short and...Department rules and policies including representing the Department in appeals , fair hearings and contested cases as an expert… more
    Idaho Division of Human Resources (01/13/26)
    - Related Jobs

  • Administrative Assistant II - Workers'…

    State of Colorado (Denver, CO)
    …Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . WHY WORK FOR US We ... including competitive medical and dental health plans, employer-paid life insurance , paid holidays, retirement plans with Colorado PERA (https://www.copera.org/members/retirement-benefits)… more
    State of Colorado (01/13/26)
    - Related Jobs

  • Law Clerk/Research Attorney

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …writs related to ongoing litigation and in the preparation of opinions in criminal appeals . Attorneys in this Department can expect to address a wide array of legal ... a full slate of benefits-state holidays, a variety of health insurance options, dental insurance , vision insurance , monthly accrual of annual and sick… more
    Louisiana Department of State Civil Service (01/12/26)
    - Related Jobs

  • Account Administrator-Revenue Cycle/Front Desk…

    Weill Cornell Medical College (New York, NY)
    …direct supervision, performs billing and account receivable activities to maximize insurance reimbursement and promote faster payments while ensuring compliance with ... system as needed. Tracks and resolves issues on denied claims. Resubmits or appeals claims as required. Escalates more complex claim issues when necessary. +… more
    Weill Cornell Medical College (01/11/26)
    - Related Jobs