- R1 RCM (Boise, ID)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Supervisor ** , you will help support ... excelling in this remote position. **Here's what you will experience working as a Clinical Appeals Supervisor :** + Track and monitor the workflow of the … more
- Centene Corporation (Austin, TX)
- …appeals and grievances from a clinical perspective. Ensure that the clinical Appeals and Grievance department processes all cases in accordance with ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data ... DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical record reviews for clinical validation of diagnosis and procedure code assignment and MS-DRG/APR-DRG… more
- State of Colorado (Crowley County, CO)
- CDOC Social Worker/Counselor IV-Mental Health Supervisor - (ARKANSAS VALLEY) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5003232) Apply ... CDOC Social Worker/Counselor IV-Mental Health Supervisor - (ARKANSAS VALLEY) Salary $7,229.00 - $10,121.00 Monthly...leadership, supervision, oversight and vision for the mental health clinical program. This position is responsible for, but not… more
- State of Colorado (Pueblo, CO)
- …for a smaller clinic, a shift within a larger complex facility, or a supervisor in a specialized clinical treatment unit. This position may be required ... Nurse Supervisor - Pueblo Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4996785) Apply Nurse Supervisor - Pueblo Salary $8,369.00 -… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and ... and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is...+ Root causes claim denials, reprocesses, and submits claim appeals . + Creates drug cost estimates for both on-label… more
- Ventura County (Ventura, CA)
- Certified Coding Supervisor - Health Information Management Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4892159) Apply Certified Coding ... Supervisor - Health Information Management Salary $94,952.15 - $132,946.07...Information Management (HIM) department related to coding and CDI ( clinical documentation improvement). The ideal candidate will have a… more
- Select Medical (Dallas, TX)
- …A joint venture with Select Medical & Baylor Scott & White Health Dallas, TX ** Clinical Liaison (RN, OT, PT, or SLP)** **Full-Time, Monday through Friday 8am - 5pm** ... **Competitive base salary with monthly bonuses!** Clinical Liaisons are advocates who educate and guide patients toward the next level of care, while building… more
- Fallon Health (Worcester, MA)
- …the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge, ... LinkedIn. **Brief summary of purpose:** The Fallon Health (FH) Appeals and Grievance process is an essential function to...rotational in-office calendar or at the direction of a supervisor or manager. Answers telephone calls via ACD queue,… more
- Houston Methodist (Houston, TX)
- …required to perform collections activities on complex denials and prepare complex appeals on outstanding insurance balances in the professional fee environment. This ... other team members as advised by the Manager and/or Supervisor . + Identifies denial trends and notifies Supervisor...complex payers and resolve accounts. + Manages denials and appeals efforts. Creates and submits appeals when… more
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