- State of Minnesota (St. Paul, MN)
- **Working Title: Appeals Administrative Support Staff ** **Job Class: Office and Administrative Specialist, Senior** **Agency: Human Services Dept** + ... benefits, support resources, and training and development opportunities. As an Appeals Administrative Support Staff member, you will provide advanced… more
- State of Minnesota (St. Paul, MN)
- …including Paid Leave judges who are attorneys, legal analysts, and administrative staff . + **Own and Develop Appeals Operations:** We are building our ... **Working Title: Manager of Appeals ** **Job Class: Staff Attorney Supervisor**...and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities. **About the… more
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA- Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and Grievances team ... well as externally to facilitate timely resolution of all grievances and appeals and ensures compliance with regulations. Additionally, this position is responsible… more
- CVS Health (Harrisburg, PA)
- …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
- Elevance Health (San Antonio, TX)
- …levels, overall adherence to policies and practices. + May make decision on administrative appeals where guidelines are well documented and involve limited ... conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey. **Title:** Grievance/ Appeals … more
- State of Massachusetts (Boston, MA)
- …Chairperson: Assist with establishing Executive Director's goals and priorities. * Administrative Staff and Attorneys; review issues concerning policies, ... Motor Vehicle Policies and Bonds ("the board"), which is responsible for conducting administrative hearings for appeals of actions, rulings or decisions of the… more
- Catholic Health Services (Melville, NY)
- …meetings, as appropriate or required. Meets productivity standards Provides information, guidance and support to administrative support team. Serves as a ... Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Manager (UAM) proactively conducts clinical reviews and appeals according… more
- RWJBarnabas Health (Oceanport, NJ)
- …process with a focus on obtaining optimal reimbursement. This position will provide staff support to communicate with third-party payors to resolve discrepancies ... Manager, Appeals (Full- Time) Remote- HybridReq #:0000200495 Category:Billing/Collections/Registration Status:Full-Time Shift:Day Facility:RWJBarnabas Health… more
- Molina Healthcare (Tacoma, WA)
- …training, leadership and mentoring for less experienced appeal LVN, RN and administrative staff . **JOB QUALIFICATIONS** **Required Education** Graduate from an ... **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct...cases in conjunction with the Chief Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet… more
- St. Luke's University Health Network (Allentown, PA)
- …recommendations and works with staff assisting with clerical and administrative tasks related the appeals /audit function. Identify and provide feedback, ... official code set, or AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals ...Coding and CDMP Managers for education of the medical staff , clinical documentation professionals and the coding professionals on… more