• Audit & Reimbursement II- Appeals

    Elevance Health (Nashville, TN)
    **Audit & Reimbursement II- Appeals ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... Perform cost report reopenings. + Under guided supervision, participate in completing appeals related work: + Position papers + Jurisdictional Reviews + Maintaining… more
    Elevance Health (01/08/26)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis ... MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures that the most accurate and descriptive… more
    St. Luke's University Health Network (01/05/26)
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  • Member Appeal & Grievances Triage Admin…

    Fallon Health (Worcester, MA)
    …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to FH's compliance with… more
    Fallon Health (11/18/25)
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  • Public Records Staff Attorney

    State of Massachusetts (Boston, MA)
    …Secretary of the Commonwealth of Massachusetts is seeking candidates for a Staff Attorney position in the Public Records Division (Division). The Division (Division) ... of Records (Supervisor), the Division processes and issues determinations on appeals from petitioners denied access to government records; responds to inquires… more
    State of Massachusetts (12/10/25)
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  • Member Intake Admin - Worcester Office based…

    Fallon Health (Worcester, MA)
    …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... and LinkedIn. **Brief summary or purpose:** Fallon Health (FH) Appeals and Grievance process is an essential function to...as necessary. * Assigning case files to the department staff for case management. * Managing incoming faxes and… more
    Fallon Health (11/20/25)
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  • Denial Appeal Coding Spec

    Rush University Medical Center (Chicago, IL)
    …of each case. **Summary:** This position reviews initial clinical denials, document appeals for clinical inpatient denials, conducts appeals as appropriate. ... outcomes, identify trends and work collaboratively with clinical providers, coders, insurance companies and revenue cycle leadership to prevent future clinical… more
    Rush University Medical Center (01/01/26)
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  • Medical Staff Services Coordinator

    HCA Healthcare (Manchester, NH)
    …integrity. We care like family! Jump-start your career as a Medical Staff Services Coordinator today with Catholic Medical Center. **Benefits** Catholic Medical ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
    HCA Healthcare (11/10/25)
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  • Experienced Staff Attorney for Custody…

    Brooklyn Defender Services (Brooklyn, NY)
    …services, including for housing, public benefits, education, and employment. BDS staff work collaboratively and across disciplines to deliver high-quality legal ... frequent hearings and trials, often on an emergency basis. Staff attorneys are expected to provide high-quality and zealous...their case. + In collaboration with our law and appeals and paralegal teams, write motions, memos of law… more
    Brooklyn Defender Services (12/14/25)
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  • Manager, Denial, Appeal, & Audit

    Guthrie (Sayre, PA)
    …Manager is responsible for the oversight and management of all payer denials, appeals , and audit processes within the health system. This role ensures timely ... regulatory compliance. Experience 10 years prior experience in healthcare or insurance with responsibility in revenue cycle billing, reimbursement and denial… more
    Guthrie (01/02/26)
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  • Assistant Town Prosecutor I or II

    Town of Gilbert (Gilbert, AZ)
    …Municipal Court and East Valley Regional Veteran's Court, as well as cases for Appeals and Rule 11 evaluations in the Maricopa County Superior Court. This position ... the State of Arizona in the Arizona Court of Appeals , Arizona Supreme Court, and federal courts in appellate...of action to be taken Instruct other attorneys and staff in the interpretation and application of law and… more
    Town of Gilbert (11/06/25)
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