- AbbVie (North Chicago, IL)
- …a subject matter expert on commercial pharmacy, major medical, and government insurance plans, prior authorizations, appeals , and alternate coverage referrals. ... LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The Supervisor, Insurance Analyst provides leadership, support, and supervision for the … more
- State of Colorado (Denver, CO)
- …of consume r protection and state antitrust laws, prosecution of criminal appeals and certain complex white-collar crimes, training and certification of peace ... of civil rights violations, fair housing, and workers' rights. + Criminal Appeals Section: Represents the state when defendants challenge felony convictions in the… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …posted and expected reimbursement for Article 28, Managed Care, Commercial Insurance and other payers. Analyze, audit and recover outstanding receivables. Identify ... the revenue cycle processes. Directly manage and resolve all assigned underpayment appeals , follow-up and payer relationships. Report to management any gross payment… more
- Fallon Health (Worcester, MA)
- …+ Serve in a senior capacity providing guidance, training, and/or assistance to staff regarding processing of BOH appeals . + Commands overall understanding of ... we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for… more
- 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
- 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
- Clark County, NV (Las Vegas, NV)
- …sexual assault. May serve as Team Chief, supervising a team of attorneys and support staff . THE SALARY FOR THIS RECRUITMENT HAS BEEN CHANGED AND IS NOW REFLECTED IN ... + Plans, directs, coordinates, and reviews work of subordinate staff in the preparation of cases for hearings and/or...cost + Teledoc, Doctoroo, and Dispatch Health + Retiree insurance - eligible after 5 years of service +… more
- Mohawk Valley Health System (Utica, NY)
- …palliative care, end-of-life-care and hospice. + Apply knowledge of Health Insurance and Managed Care Programs, along with values- based care, pay-for-performance ... Support education to minimize clinical variability throughout the medical staff . + Assist case managers with Medicare and Medicaid.... + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act as… more
- Idaho Division of Human Resources (ID)
- …defense through all stages of proceedings. + Prepare and present legal arguments in appeals to the district court, ensuring the legal rights of clients are protected ... act cases, specialty court proceedings in magistrate court, and appeals to the district court and does related work...may train and oversee the work of less experienced staff . Supervisory responsibilities may be assigned. Positions in this… more
- Staffing Solutions Organization (Albany, NY)
- …the new eligibility system for New York's Complex Medicaid population, and the new appeals management system. The individual will act as a liaison between the DEMI ... of State and Federal initiatives + Work with teams of vendors, DOH staff and other stakeholders as needed (eg issuers, application assistors) to elicit, document,… more