- Robert Half Legal (Nashville, TN)
- …the state's actions related to TennCare Medicaid programs and coordinate with other staff for the prompt resolution of appeals where necessary. * Demonstrates ... the state's actions related to TennCare Medicaid programs and coordinate with other staff for the prompt resolution of appeals where necessary. * Demonstrates… more
- Stanford Health Care (Palo Alto, CA)
- …excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff , coding ... the Revenue Cycle Denials Management Department by managing and resolving clinical appeals related to government audits and denials. This position requires strong… more
- 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
- HCA Healthcare (Manchester, NH)
- …We care like family! Jump-start your career as a Director Medical Staff Services today with Catholic Medical Center. **Benefits** Catholic Medical Center, offers ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- 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
- Houston Methodist (Sugar Land, TX)
- …utilization review activities, and monitoring the clinical denial management and appeals process, as applicable, in collaboration with clinical team partners. This ... **PEOPLE ESSENTIAL FUNCTIONS** + Serves as an educational liaison to clinical staff including physicians/providers and clinical directors, and staff , for payor… more
- 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
- Guthrie (Sayre, PA)
- …and employment issues. Serves as a resource specialist within the department. Trains Insurance Billing Specialists I and related support staff . Works closely ... the necessary action to complete all types of complex insurance billings and appeals . Reviews and analyzes...to ensure best practice procedures are followed. 5. Ensures staff adherence of protocols by audit and education. 6.… more
- WMCHealth (Valhalla, NY)
- Lead Insurance Verifier Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Patient Accounts-WMC Health ... Internal Applicant link Job Details: Job Summary: The Lead Insurance Verifier is responsible for leading the payment resolution analysts… more
- State of Massachusetts (Boston, MA)
- …public facing policy making, promulgating regulations, and rendering final decisions of appeals to the Full Commission from decisions issued by MCAD hearing ... and promulgation of regulations, guidelines, and public-facing policy * * Appeals of Investigative Dismissals*: Decide appeals of...with the benefit of a recommendation made by MCAD staff ; the decision on the appeal will be to… more