- MVP Health Care (Rochester, NY)
- …person-centered care. + Compliance & Quality: Ensure adherence to Medicaid, Medicare , and accreditation standards (eg, NCQA), including documentation and reporting. ... maintain cost-effectiveness and manage Medical Loss Ratio (MLR). + Appeals & Denials: Participate in the appeals ...+ Appeals & Denials: Participate in the appeals process for denied services and ensure timely resolution.… more
- State of Colorado (Lakewood, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- State of Colorado (Denver, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... of notice or acknowledgment of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- State of Colorado (Denver, CO)
- …Name check only includes: CBI check (no fingerprints), Colorado Court Database check, and Medicare Fraud Database + Motor Vehicle Check , if the employee will drive ... by the State Personnel Director if your application is eliminated. You will find the appeals process, the official appeal form, and how to deliver it on the State… more
- State of Colorado (Grand Junction, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... by the State Personnel Director if your application is eliminated. You will find the appeals process, the official appeal form, and how to deliver it on the State… more
- State of Colorado (Grand Junction, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... by the State Personnel Director if your application is eliminated. You will find the appeals process, the official appeal form, and how to deliver it on the State… more
- State of Colorado (Grand Junction, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- State of Colorado (Golden, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- State of Colorado (Denver, CO)
- …name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State… more
- Stanford Health Care (Palo Alto, CA)
- …- Payer clerical and technical denial review and request processing including basic appeals - Payment posting and batch reconciliation - Credit balance review and ... to payers + Reviewing and resolving payer rejections, denials, and performing appeals as necessary + Electronic or hardcopy claims editing and submission to… more