- Molina Healthcare (Scottsdale, AZ)
- Molina Healthcare is hiring for a Medicare Appeals & Grievances Specialist . This position is remote and will be working Pacific Standard hours. Highly ... Qualified Candidates Will Have The Following Experience: + Strong understanding of UM, Appeals , and Medicare knowledge + Strong understanding of CMS regulations,… more
- Molina Healthcare (Scottsdale, AZ)
- …+ Responsible for the comprehensive research and resolution of the appeals , dispute, grievances , and/or complaints from Molina members, providers ... internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to...subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and… more
- Cognizant (Phoenix, AZ)
- **Provider Appeals & Grievances Specialist ** (remote) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** ... We are seeking a dedicated Provider Appeals & Grievance Specialist with 1 to...with CMS Billing and Coding-Medical Insurance Knowledge of Member/Provider Appeals and Grievances , processes, resolutions, compliance TAT… more
- Molina Healthcare (Chandler, AZ)
- …and prepare responses to appeals and grievances . + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. ... with the standards and requirements established by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal… more
- Molina Healthcare (Phoenix, AZ)
- …benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the… more
Recent Jobs
-
Medical Director
- Project Renewal, Inc. (New York, NY)
-
Division Lean Manager, APS & EPM
- Parker Hannifin Corporation (Saegertown, PA)
-
Pediatric Pulmonologist
- Atlantic Health System (Morristown, NJ)
-
Unit Director Neonatal ICU
- UPMC (Pittsburgh, PA)