- University of Miami (Coral Gables, FL)
- …Assists physicians and clinic staff with filing charges, billing, and insurance authorizations including pre-authorization and retro-authorization and appeals as ... needed. + Assists with scheduling patient appointments. + Assists with clinic closures and reschedules by contacting patients and rescheduling appointments + Answers patient questions regarding outpatient procedures, post-operative recovery, and rehabilitation… more
- Tutor Perini (Henderson, NV)
- …accurate and submitted per established procedures. + Accompany all safety, health, and insurance inspectors on walk through tours. + Prepare written appeals for ... safety violation citations. + Additional assignments on supervisor's request. **REQUIREMENTS:** + Bachelors degree in a Safety, Environmental Health discipline from an accredited institution + 5 or more years of experience as a supervisor or manager in safety… more
- University of Colorado (Aurora, CO)
- …and university leadership. + Address faculty concerns regarding grievance procedures, and appeals processes and serve as a neutral party and advisor in faculty ... regarding faculty contract negotiations, including Letters of Offer, malpractice insurance , incentive structures, and faculty agreements. + Ensure financial… more
- AnMed Health (Anderson, SC)
- …or related field (required) 2-4 years experience in managed care, appeals , grievances, utilization management, or revenue cycle Proficiency in Microsoft Office ... remote and manage time well, staying organized/meeting deadlines Benefits* . Medical Insurance & Wellness Offerings . Compensation, Retirement & Financial Planning .… more
- Highmark Health (Montpelier, VT)
- …through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. + ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more
- Evolent (Phoenix, AZ)
- …of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Regeneron Pharmaceuticals (Columbus, OH)
- …Utilization Management Criteria including Prior Authorization Processes, Step Edits, Appeals , detailed Clinical Documentation, Peer to Peer reviews etc. requires ... and wellness programs (including medical, dental, vision, life, and disability insurance ), fitness centers, 401(k) company match, family support benefits, equity… more
- Robert Half Legal (Pittsburgh, PA)
- …experience as a Legal Assistant, preferably in tax litigation, real estate tax appeals , or a related litigation environment + Proficiency with state and federal ... professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll in… more
- Sharp HealthCare (San Diego, CA)
- …management, and discharge planning, as specified by Sharp, federal, state, and private insurance guidelines. + Core principlesThe RN CM II will make timely referrals ... to Revenue Cycle/HIM regarding RAC decision to appeal, denials, input into appeals , share findings with providers.Review all cases with readmission within 30 days;… more
- Robert Half Legal (Pittsburgh, PA)
- …equipment to transcribe legal correspondence and notes. * Support attorneys during appeals by filing and submitting necessary documentation. * Ensure compliance with ... professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll in… more