- ManpowerGroup (Columbia, SC)
- Our client, a leader in the healthcare industry, is seeking an Analyst , Appeals to join their team. As an Analyst , Appeals , you will be part of the ... clinical background which will align successfully in the organization. **Job Title:** Analyst , Appeals **Location:** Columbia, SC **Pay Range:** Not specified… more
- Molina Healthcare (Spokane, WA)
- **Molina Healthcare is hiring a Sr Business Analyst , Appeals & Grievances** and experience in data reporting. **Highly Qualified Candidates Will Have The ... Following Experience-** + Solid understanding of the full Appeals & Grievances process + Experience working with claims...Payment Integrity, Excel, Power User, Power BI, Enrollment, Enrollment Analyst , Analyst , Business Analyst , BA,… more
- Elevance Health (Tampa, FL)
- **Grievance/ Appeals Analyst Lead** **Candidates must be located within 50 miles an Elevance Health PulsePoint office. This position is primarily work from home ... you to work in the office quarterly.** **Schedule: Monday-Friday 8am-5pm EST** The **Grievance/ Appeals Analyst Lead** is responsible for leading and coaching a… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... fashion. In collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of enhancing contract… more
- Mount Sinai Health System (New York, NY)
- **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing ... and pursuing appeals opportunities with payors and networks, and reporting performance...network offices. 8. Prepares Adhoc payor performance metrics detailing appeals and recoveries. 9. Monitors, tracks, and corrects registration… more
- Point32Health (MA)
- …general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations ... the professional and compliant management and coordination of assigned member appeals and grievance (complaints) received by Point32Health. This individual works… more
- Penske (Reading, PA)
- **Position Summary:** The Tax Analyst is an integral member of the Fleet Services Organization. This dynamic position will be responsible for providing analysis and ... audits, including negotiating with auditors and interfacing with taxing jurisdictions. -Perfect appeals and refund claims. -The position will require the ability to… more
- Travelers Insurance Company (Tampa, FL)
- …+ College degree preferred and /or equivalent work experience. + Previous Appeals experience reviewing workers compensation medical bills highly desirable. + Solid ... customer service telephone skills. + Strong interpersonal communication skills. + Strong verbal and written communication skills, including effective sentence construction, grammar, spelling, and punctuation. Basic computer skills: ability to toggle between… more
- Intermountain Health (Trenton, NJ)
- …reimbursement, compliance initiatives, regulatory legislation, and billing practices. This analyst reviews claims and monitors provider appeals including ... **Job Description:** The Coding Analyst I for SelectHealth provides general expertise in...Retirement Income Security Act (ERISA) standards. + Logging provider appeals and sends correspondence to providers on submitted … more
- LA Care Health Plan (Los Angeles, CA)
- Appeals & Grievances Regulatory Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of business). This position is… more