• Claims Appeals Specialist…

    Serco (NM)
    **Position Description** We are looking for a skilled and detail-oriented Claims Appeals Specialist to join our team. The successful candidate will have at ... processing and communication, we want to hear from you. **As a Claims Appeals Specialist , you will:** + * Conduct detailed evaluations of disaster-related… more
    Serco (06/09/25)
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  • Customer Solution Center Appeals…

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve… more
    LA Care Health Plan (06/10/25)
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  • Customer Solution Center Appeals…

    LA Care Health Plan (Los Angeles, CA)
    Customer Solution Center Appeals and Grievances Specialist III Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... net required to achieve that purpose. Job Summary The Customer Solution Center Appeals and Grievances Specialist III will receive, investigate and resolve member… more
    LA Care Health Plan (06/10/25)
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  • Compliance Specialist

    Shinda Management Corporation (Queens Village, NY)
    Compliance Specialist About the Organization For over three decades, SMC has been in the forefront of proven, quality real estate property management services in the ... community by redefining affordable housing. Description SMC is seeking a Compliance Specialist to join our compliance department. Under the supervision of the Manger… more
    Shinda Management Corporation (06/05/25)
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  • Physician Support Specialist

    University of Rochester (Rochester, NY)
    …edits and obtains signatures for non-routine letters of correspondence related to appeals on denied claims . This includes compiling all necessary information ... SUPERVISION AND DIRECTION RECEIVED: Receives minimal direction from physician, mid -level providers, department head and/or administrative officer. Is responsible for… more
    University of Rochester (03/17/25)
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  • Ops Employment Security Rep II - 1 1 1 1 1

    MyFlorida (Tallahassee, FL)
    …This is an OPS Employment Security Representative II- Employment Review Specialist position in the Department of Commerce's Reemployment Assistance Programs ... and policies to determine the eligibility of reemployment assistance claims using the CONNECT system. This includes gathering claimant...attracting development and new businesses. T allahassee is a mid - sized city in the heart of Florida's Big… more
    MyFlorida (03/19/25)
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  • Authorization Technician II

    LA Care Health Plan (Los Angeles, CA)
    …dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist .; submit all Grievances and Appeals response letters to ... Position Type: Full Time Requisition ID: 12275 Salary Range: $47,840.00 (Min.) - $57,062.00 ( Mid .) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an… more
    LA Care Health Plan (06/11/25)
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  • Field Reimbursement Manager

    Adecco US, Inc. (Washington, DC)
    …benefit investigation and prior authorization * Provide patient access support related to claims , denials, and appeals * Facilitate training on payer landscape ... for **Field Reimbursement Manager** opportunities in **Washington, DC** **and surrounding Mid -Atlantic areas** . This is an excellent opportunity to join a… more
    Adecco US, Inc. (05/21/25)
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