- Catholic Health Services (Melville, NY)
- …Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate utilization ... management and appeals functions to include coordination of specific process and payment related activities. Position Responsibilities: | Prepares necessary… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? **Summary:** + The Clinical Appeals Coordinator will play an essential role in maximizing collection of revenue ... degree in Nursing and 5+ years Working as a RN Case Manager and /or Appeals Coordinator required. We believe that the best care for our patients starts with the… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... link Job Details: Internal Posting: 02/25/25 to 03/10/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of this class assists… more
- Centene Corporation (Phoenix, AZ)
- …**Position Purpose:** Provide support and direction for the daily operations of the appeals function + Provide consultation for problem resolution for appeals ... degree in related field or equivalent experience. 2+ years of grievance and appeals experience in a Healthcare or Managed Care setting. *Prefer claims and prior… more
- VNS Health (Manhattan, NY)
- …including intake, classification, setup, and assignment of grievances and appeals . Additionally, provides administrative support to staff, including tasks such ... as clinical case file preparation for appeals . This includes retrieving documents from related systems (such...Do + Identifies case types (eg- clinical vs non-clinical appeals ) during the intake process, communicates and responds to… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Appeals and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written ... complaints, grievances and requests for appeals that involve complex matters submitted by Members and...written and fax referred cases from member and provider appeals and complaints for all lines of business, ensuring… more
- CVS Health (Harrisburg, PA)
- …issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from ... outside plan sponsors or regulators. * Research and resolves incoming electronic appeals as appropriate as a "single-point-of-contact" based on type of appeal. *… more
- Crossroads Hospice & Palliative Care (Green, OH)
- …backgrounds + Problem-solving skills to research and resolve discrepancies, denials, appeals , collections Billing Coordinator Schedule & Benefits: + Schedule: ... we can create lasting impacts that transcend medical treatment. Billing Coordinator Responsibilities: + Obtain referrals and pre-authorizations as required for… more
- University of Washington (Seattle, WA)
- …S&A also administers the payment of citations and adjudication of citation appeals . The S&A Communications Program Coordinator is responsible for managing ... Transportation Services has an outstanding opportunity for a **Program Coordinator , Customer Communications** . The Transportation Services Sales & Administration… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Centralized Appeals Unit - Supervisor Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4881433) Centralized Appeals Unit - Supervisor ... + Description + Benefits Supplemental Information Please click HERE (https://ulsuno.wd1.myworkdayjobs.com/en-US/UniversityOfNewOrleans/job/Baton-Rouge-La/Centralized- Appeals -Unit Supervisor\_R-001713?q=R-001713) to apply + Manage and report on… more
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