- Crouse Hospital (Syracuse, NY)
- …department, including Utilization Management, Discharge Planning and Denials and Appeals functions. + Assessing workflow related to readmission prevention, length ... + Medical, Dental, Vision, FSA, and 401K. + Company paid life insurance . + Tuition Assistance and Workforce Development Opportunities. + Crouse Health Employee… more
- Cedars-Sinai (CA)
- …and Medi-cal managed care members are in compliance with program regulations, insurance regulations, and regulatory requirements. + Maintains and tracks laws and ... on company policies and procedures regarding access to care, the grievance and appeals process, the eligibility process, etc. + Remains updated on all member and… more
- Unum Group (Portland, ME)
- …to the Benefits Administrative Committee in the review and resolution of ERISA appeals . **Job Specifications** + 5-7 years of experience in employee benefits + ... competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans,… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …the state of Massachusetts + Active clinical practice in order to process appeals + Experience in Utilization Management in a managed-care or risk contract ... offer comprehensive package of benefits including paid time off, medical/dental/vision insurance , 401(k), and a suite of well-being benefits to eligible employees.… more
- Executive Office for US Attorneys and the Office of the US… (Oklahoma City, OK)
- …of civil litigation experience that includes responsibility for discovery, trial and appeals , superior writing skills, good judgment, knowledge of civil practice and ... that includes, in part, paid vacation; sick leave; holidays; telework; life insurance ; health benefits; and participation in the Federal Employees Retirement System.… more
- Huron Consulting Group (Chicago, IL)
- …appropriate, and corrective action is initiated before the claim is rebilled to the insurance . + Conduct analysis and present summary of findings to leadership in a ... (PFS) teams, when needed, to help resolve billing, claims, denial and appeals issues affecting reimbursement. + Identifies, and attempts to problem solve, coding… more
- Queen's Health System (Honolulu, HI)
- …process changes, to minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to resolve payment ... and denial issues. * Writes and submits appeals to payors on denied accounts. * Audits payments to ensure QMC has received contracted payment in accordance with… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …funders + Collaborate with members of Development team on developing concepts for appeals , newsletters, reports as well as cohesive messaging for use with social ... are eligible for our competitive time off program, health, dental and vision insurance , 403B retirement savings plan, pre-tax MBTA pass program with 40% discount,… more
- Masonicare (Wallingford, CT)
- …Review-reports to identify claims that are eligible for billing to intermediaries, insurance companies, third parties and patients. Processes claims and bills in ... - high-quality standards - -. - May assist in preparing documentation for appeals , third party audits, legal inquiries, litigation, and court appearances. Assists in… more
- Highland Hospital (Rochester, NY)
- …via telemedicine dependent on clinical availability, personal preference, and insurance guidelines for telemedicine coverage 10-20%Office Practice (Non-Face to Face ... + Complete clinical documentation, forms/paperwork requested by patients, prior authorization appeals , sign home care orders + Coordinate with other providers, home… more