• Manager , Appeals ( Full…

    RWJBarnabas Health (Oceanport, NJ)
    Manager , Appeals ( Full - Time ) Remote RoleReq #:0000200495 Category:Billing/Collections/Registration Status: Full - Time Shift:Day ... Title: Manager Location: Barnabas Health Corp Department: Appeals Req#: 0000200495 Status: Full - Time Shift: Day Salary Range: $91,472.00 - $129,204.00… more
    RWJBarnabas Health (05/19/25)
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  • Appeals Associate

    BronxCare Health System (Bronx, NY)
    …skills. Job LocationsUS-NY-Bronx ID2025-5086 Category Administrative/Clerical Position Type Regular Full - Time Division BronxCare Hospital Center Min USD ... Overview Appeals associate will be responsible for coordinating and...Insurance Payors (5cases)- ask for determination and update care manager and appeal status report. -Sort cases based on… more
    BronxCare Health System (05/14/25)
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  • Appeals Specialist - Remote

    TEKsystems (Sarasota, FL)
    Description 1. Manages workflow for Humana PPI Audits, RAC Audits, or outpatient appeals and communicates daily with Sr. Director/ Manager on trends identified 2. ... effectively move through the revenue cycle 4. Completes claim appeals and assists with other projects as needed 5....(HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type… more
    TEKsystems (06/04/25)
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  • Senior RN Clinical Consultant, Disability…

    Guardian Life (Bethlehem, PA)
    …Explore our company benefits at www.guardianlife.com/careers/corporate/benefits . _Benefits apply to full - time eligible employees. Interns are not eligible for ... serve as clinical subject matter expert in all lines of business (STD/LTD/ Appeals ) and products, action planning management, and Guardian systems. This incumbent… more
    Guardian Life (06/03/25)
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  • Referral Specialist II/Patient Access (Pre & Prior…

    Elevance Health (Fort Worth, TX)
    …and Fridays after the training and acclimation period. **Onsite Training:** Training will be in-person, full - time (Monday - Friday), 8 AM - 5 PM or 8:30 AM - ... home setting._ **Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals , Insurance) - Paragon Infusion** **Location:** 3033 W President George… more
    Elevance Health (06/07/25)
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  • Audit & Reimbursement III- Appeals

    Elevance Health (Atlanta, GA)
    …& Reimbursement III** _Location:_ This role enables associates to work virtually full - time , with the exception of required in-person training sessions, providing ... Able to work independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings in accordance with… more
    Elevance Health (05/30/25)
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  • Audit & Reimbursement Senior- Appeals

    Elevance Health (Columbus, OH)
    …& Reimbursement Senior** _Location:_ This role enables associates to work virtually full - time , with the exception of required in-person training sessions, ... independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings...report reopenings. + Manage caseload of Medicare cost report Appeals + Position papers + Jurisdictional Reviews + PRRB… more
    Elevance Health (05/30/25)
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  • Case Manager RN- Mount Sinai West-…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Case Manager (CM) will be responsible for all aspects of case management for an assigned group of inpatients to determine the appropriateness ... or utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager or a minimum...with physicians and managed care companies on concurrent denial appeals 5. Communicates clinical information to the payor, as… more
    Mount Sinai Health System (04/22/25)
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  • Planner IV-Environmental Project Manager…

    City and County of San Francisco (San Francisco, CA)
    …or an equivalent combination of training and experience. Note: One year of full - time employment is equivalent to 2000 hours. (2000 hours of qualifying ... environment, develop tools, and suggest process improvements. Planner IV-Environmental Project Manager for Environmental Review Under the direction of EMG's … more
    City and County of San Francisco (05/28/25)
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  • SLH Case Manager RN, Full…

    Alameda Health System (San Leandro, CA)
    SLH Case Manager RN, Full Time , Benefited, Days, 8hours, 1.0fteFeatured Job + San Leandro, CA + San Leandro Hospital + SLH Social Services + Full Time ... + FTE:1 + Posted:May 14, 2025 **Summary** **Job Summary:** The SLH Case Manager RN is responsible for providing comprehensive case management services to clients… more
    Alameda Health System (05/05/25)
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