- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist I (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Specialist I primary function… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances ... to support the safety net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will… more
- LA Care Health Plan (Los Angeles, CA)
- Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... support the safety net required to achieve that purpose. Job Summary The Lead Customer Solution Center Appeals and Grievances RN is responsible for… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Member Navigator II- Palmdale Location (Onsite) Job Category: Customer Service Department: Even MORE Outreach & Service ... net required to achieve that purpose. Job Summary The Customer Solution Center Member Navigator...of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services and… more
- City and County of San Francisco (San Francisco, CA)
- …services while piloting innovative models, and implementing best practice solutions with measurable results. HSH's Homelessness Response System (HRS) funds, ... written communication skills with exceptional attention to detail and customer service. + Self-driven, motivated, and can operate with...Rule 111A.35.1. The standard for the review of such appeals is 'abuse of discretion' or 'no rational basis'… more
- CalSTRS (Sacramento, CA)
- …System (CalSTRS), manages CalSTRS legal program, and represents the System in litigation, appeals , and other legal matters. The Office of the General Counsel is ... support for the Office of the General Counsel on appeals filed with the Office of Administrative Hearing, other...wide reporting such as Risk, Compliance, and Operations and Customer Service Roundtables. The Operations team also has responsibility… more
- Robert Half Accountemps (Palo Alto, CA)
- …underpayments; research contracts, guidelines and resolve payment with payer. Perform appeals with payer. Performs bad debt request transfers as applicable. Performs ... applicable. . Maintains professional communication with various PFS staff, medical center staff, payors, physicians, and patients regarding the billing of services… more
- J&J Family of Companies (Santa Clara, CA)
- …treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we ... are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for… more
- Sacramento County (Sacramento, CA)
- …and instruction + Research and evaluate work problems, and recommend solutions + Develop and maintain cooperative, effective working relationships with others ... state, and local laws, codes, and regulations + Apply customer service skills, including the identification of customer...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- Transdev (San Francisco, CA)
- …to arrive at a determination. Examples of Other Duties: + Participates in appeals hearings related to a denial of eligibility. + Assistswith determining a patron's ... approved allotment of taxi debit card value and analyzes customer requests for an increased allotment. + Understands the...Full Time Req ID: 6566 Pay Group: YS5 Cost Center : 5936 The above statements are intended to describe… more