- Sharp HealthCare (San Diego, CA)
- …management, and discharge planning, as specified by Sharp, federal, state, and private insurance guidelines. + Core principlesThe RN CM I 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
- New York State Civil Service (Bronx, NY)
- …persistent violators, false statements on Motor Vehicle documents, or driving without insurance . They will also conduct hearings involving charges of violations of ... some cases, the incumbent will prepare cases for review by the Motor Vehicle's Appeals Board. In addition to the New York Vehicle and Traffic Laws and Commissioner's… more
- Koniag Government Services (Savannah, GA)
- …and an extraordinary benefits package including health, dental and vision insurance , 401K with company matching, flexible spending accounts, paid holidays, three ... appropriate agency-specific components and OGAs. + Respond to FOIPA administrative appeals and litigation requirements. + Conduct appropriate research for background… more
- State of Colorado (CO)
- …and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information Equity, ... employees a variety of benefits including medical, dental, life and disability insurance , as well as a comprehensive leave program. Please click the following… more
- University of Rochester (Rochester, NY)
- …follow-up to obtain maximum revenue collection. Researches, corrects, resubmits claims, submits appeals and takes timely and routine action to resolve unpaid claims. ... + May establish financial arrangements for charges. + Processes commercial insurance claims when applicable. + Refers to collectors for payment arrangements,… more
- City and County of San Francisco (San Francisco, CA)
- …public health services to all San Franciscans, regardless of immigration or insurance status. For more information, visit www.sfdph.org. DPH Statement of Diversity, ... The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S… more
- US Tech Solutions (May, OK)
- …based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians ... + Do you have experience in handling calls regarding prior authorization and appeals ? **About US Tech Solutions:** US Tech Solutions is a global staff augmentation… more
- Allegan County (Allegan, MI)
- …Account with our two high-deductible medical plans - County-paid employee life insurance coverage - County-paid short-term disability coverage, up to 52 weeks - ... appellate briefs, conducts research, and presents arguments to the Court of Appeals and other appellate Courts. + Participates on various interagency and… more
- Transdev (San Francisco, CA)
- …interview to arrive at a determination. Examples of Other Duties: + Participates in appeals hearings related to a denial of eligibility. + Assists with determining a ... mobility. + Has experience with or a high-level understanding of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its requirements. +… more
- UCLA Health (Inglewood, CA)
- …more than a century of experience helping patients regardless of their income, insurance or immigration status. The organization now has more than 500 staff who ... on paper claims; processes tracers, denials, and related correspondence; + Initiates appeals ; drafts, composes, and submits appeal letters specific to coding issues… more