- Iowa Department of Administrative Services (Des Moines, IA)
- …of knowledge regarding Department software applications and provides support to Bureau staff and administrative support team. + Managing a reduced ... responsible for: + Managing the day-to-day operations of the Enforcement Actions and Appeals Bureau, supervises Bureau staff and assists them with their needs.… more
- LA Care Health Plan (Los Angeles, CA)
- …Develop and implement short and long-term strategies to improve team results, reducing administrative expenses. + Manage staff , including, but not limited to: ... Registered Nurse (RN) Manager, Appeals and Grievances General Operations (Clinical) Job Category:...County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.… more
- CVS Health (Sacramento, CA)
- …issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from ... contact with outside plan sponsors or regulators. Research and resolves Fast Track Appeals as appropriate. Can identify and reroute inappropriate work items that do… more
- Nuvance Health (Danbury, CT)
- …Hours 5-9pm- Rotate Weekends/Evenings* *Summary:* Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, ... for the Nuvance Health network. The role also provides support for all administrative and clerical duties...compiling data for performance metrics and audit readiness. 2. Support onboarding new staff by organizing orientation… more
- WMCHealth (Valhalla, NY)
- …Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Clerical/ Administrative Support Department: Clinical Care Mgmt- WMC Health Union: ... to improve reimbursement. 3. Provide direction to the Case Management staff in relation to denials/ appeals which includes training and monitoring of staff … more
- Dignity Health (Rancho Cordova, CA)
- …This position is hybrid in-office and work from home.** **Position Summary:** The Appeals and Grievances Coordinator is responsible for supporting the appeals ... department team members by managing and coordinating the appeals and grievance process. This role involves: - facilitating delivery of member and provider complaints… more
- State of Indiana (Indianapolis, IN)
- …data, analyze facts and draw logical conclusions. + Ability to work independently and with appeals supervisor and support staff . + Able to perform essential ... state and country's economic growth. Role Overview : The Appeals Referee is an Administrative Law Judge...Overview : The Appeals Referee is an Administrative Law Judge who conducts unemployment insurance hearings in… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... Coding and CDMP Managers for education of the medical staff , clinical documentation professionals and the coding professionals on...and apply appeal arguments and draft appeal letters to support and defend the codes assigned by the coding… more
- 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 ... descriptive codes from the AHA ICD-9-CM/ICD-10-CM/PCS diagnoses and/or procedures support the services/treatment rendered. JOB DUTIES AND RESPONSIBILITIES: + Conduct… more
- Iowa Department of Administrative Services (Thompson, IA)
- Administrative Support Assistant 3 - Winnebago Co Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5148748) Apply Administrative Support ... Services Bureau (https://www.iowaagriculture.gov/fieldServices.asp) seeks to fill the position of Administrative Support Assistant 3. Land stewardship is central… more
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