- 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
- Cardinal Health (Doral, FL)
- …escalate issues. + Analyze denials and underpayments to determine appropriate action ( appeals , corrections, resubmissions). + Track and follow up on all submitted ... appeals until resolution. + Analyze explanation of benefits (EOBs)...claim processing and denial management preferred. + Familiarity with Medicare , Medicaid, and managed care preferred. + Proficiency in… 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
- State of Colorado (Pueblo, CO)
- …security personnel. + CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check. + This position will also provide ... 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
- Molina Healthcare (Augusta, GA)
- …National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing ... of pharmacy prior authorization requests and/or appeals . * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other… more
- State of Colorado (Denver, CO)
- …Name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference check, Professional License verification (licensure requirement), ... 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 (CO)
- …Name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference check, Professional License verification (licensure requirement), ... 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 (Rio Grande County, 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 (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
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …to insurance companies in a timely manner. + Perform follow-up with Medicare , Medicaid, Medicaid, Managed Care, and Commercial insurance companies on unpaid ... vendor's queries to clarify and to complete the claim filing process. + Process appeals online or via paper submission. + Assist with billing audits and/or related… more