- Medical Mutual of Ohio (Brooklyn, OH)
- …will consider collective experience, training and education. . 5 years as an Appeals Specialist or equivalent experience in Medicare health insurance claims, ... appeal/grievance requests and electronic inquiries in order to identify and classify appeals and grievances as outlined in policies and procedures. Using internal… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN40045B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals Coding Specialist SR **Job Grade** E **FLSA ... Coder-Hospital ( CPC -H), Certified Professional Coder-Payer ( CPC -P), Certified Coding Specialist ( CCS ), Certified Coding Specialist - Physician Based (… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical, operations, pharmacy, dental, reporting, and member services. - Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in day-to-day ... **Why This Role is Important to Us:** Appeals and Grievances Representative supports the Operations Department...and Grievances Representative supports the Operations Department and the Appeals and Grievances team in a number of ways… more
- Johns Hopkins University (Middle River, MD)
- … and rejections processes to resolve standard issues or escalate to a more senior specialist . **Specific Duties & Responsibilities** + Uses A/R follow-up systems ... file or pull EOB batches. + Identifies and escalates non-standard appeals to a higher-level specialist . + Informs the supervisor / Production Unit Manager of… more
- Prime Therapeutics (Pierre, SD)
- …Title** Sr Resolution Specialist **Job Description** The Resolution Specialist Sr is responsible for owning the Pharmacy contract termination processes. ... appropriate tracking information regarding potential pharmacy terminations and termination appeals ; receive and prepare audit documentation supporting pharmacy termination… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 09/05/2024 **Requisition Number** PRN39766B **Job Title** Billing Specialist , Sr **Working Title** Billing Specialist , Sr **Job ... and to resolve claim issues. 4. Coordinates and resolves denials including the appeals process. 5. Processes changes in systems to support accurate and efficient… more
- Rochester Institute of Technology (Rochester, NY)
- …Department of Biomedical Engineering at RIT is seeking applicants for Senior Staff Specialist - Grad Studies. The Sr . Staff Specialist for Graduate ... **9279BR** **Position Title:** Sr Staff Specialist - Graduate Studies...or graduate program director with student waiver of suspension appeals + Prepare student full time equivalency forms to… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 10/25/2024 **Requisition Number** PRN40195B **Job Title** PS Sr Laboratory Specialist **Working Title** PS Sr Laboratory Specialist ... medicinal chemistry and vascular surgery. We seek a lab specialist to manage lab logistics, perform seminal scientific experiments,...assist in managing laboratory setup, and inventory. If this appeals to you, please apply by sending your CV… more
- CACI International (Washington, DC)
- Sr Congressional and Public Affairs Specialist /Advisor Job Category: Consulting Time Type: Full time Minimum Clearance Required to Start: TS/SCI Employee Type: ... PREM). More About the Role: As a Congressional and Public Affairs Specialist /Advisor you will: + Collect, review, assess, and demonstrate congressional information,… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* We are currently seeking a*Prior Authorization Representative Senior *to join our*Financial Securing*team. This full-time role will primarily work remotely ... (SHIFT: Days M-F). *Purpose of this position:*The Prior Authorization Specialist plays a key role in the patient financial experience by coordinating… more