- Conduent (Baton Rouge, LA)
- …**Are you eager to learn new skills and help adults in need?** As an Appeals Coordinator you will represent the customer, the Louisiana Department of Health ... role, you will:** + Review decision/denial letters on new appeals requests received, research data and materials to accumulate...to:** + Prepare summaries of evidence + Prepare for appeals + Document required reporting for position + Utilize… more
- CVS Health (Baton Rouge, LA)
- …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
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- ADMINISTRATIVE COORDINATOR 1/2/3/4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5152851) Apply ADMINISTRATIVE COORDINATOR 1/2/3/4 ... 5 Location: Baton Rouge, LA Under general supervision, theAdministrative Coordinator 1/2/3/4provides administrative and legal secretarial support to the Workers'… more
- Highmark Health (Baton Rouge, LA)
- …through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. + ... Other duties as assigned or requested. **QUALIFICATIONS:** **Minimum** + High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician certification certificate +… more
- Highmark Health (Baton Rouge, LA)
- …queues, investigating and completing coding updates and corrections, coordinating appeals , denials, and rebills, creating and maintaining complex Excel worksheets. ... Serves as the HIM Epic Super-user for coding, and works closely with Epic analysts to support coding and charging workflows, integrated 3M encoder, testing and upgrades. **ESSENTIAL RESPONSIBILITIES:** + Reviews dashboards and reports, to identify and report… more