A company is looking for a Grievance & Appeals Specialist III to process and respond to claim appeals and disputes while providing subject matter expertise.
Key ResponsibilitiesReview and process various types of appeals, ensuring accuracy and compliance with regulationsPrepare clinical review packets and document outcomes within the claims systemCollaborate with multiple departments to resolve grievances and ensure timely processingRequired Qualifications, Training, and EducationHigh school diploma or equivalent requiredAssociates Degree or equivalent relevant work experience preferredMinimum of three years of healthcare customer service, claims, compliance, or related experience requiredAt least one year of coding experience is requiredCertified Medical Coder (CPC, RHIT, or RHIA) is preferred
Appeals and Grievances Clinical Specialist - RN or LPN
A company is looking for an Appeals and Grievances Clinical Specialist - RN or LPN, 100% Remote. ...
Grievances and Appeals Analyst - Hospital Customer Service 9012
Grievances and Appeals Analyst - Hospital Customer Service 9012. Position: Grievances and Appeals Analyst - Hospital Customer Service 9012Location: Remote - must reside in Western Time ZoneSchedule: M-F 8 am - 5 pmProjected duration: 6 months +potential extensions + potential for permJob code: CVDJP...
Grievances and Appeals Representative
A company is looking for a Grievances & Appeals Representative. ...
Manager Grievance and Appeals
A company is looking for a Manager, Grievance and Appeals to oversee grievance and appeal processes within the Marketplace line of business. ...
Credentialed Tax Accountant - Work From Home - 2+Yrs Paid Tax Experience Required
As part of this position, you have the opportunity to work 100% remotely, collaborating with an exceptional team from the comfort of your home or office. By providing tax advice, full service return preparation, tax calculations, and managing product/software inquiries, you will be working toward ad...
Executive Administrative Assistant
Provide administrative management and support to Group President, Manages effective scheduling and travel arrangements for Group President, other team members & guests as needed. Manage administrative needs of departmental events. Minimum of 5 years executive administrative assistance experience req...
Administrative Services Assistant 5 - 10152024- 62294
This class differs from that of Admin Services Assistant 4 in that incumbents of the latter supervise administrative services functions of less scope and impact and often administer fiscal services and budgetary activities of lesser monetary value and complexity. Acts as the Administrative Services ...
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A company is looking for a Data Entry Clerk II to join their Accounting, Revenue Recognition team. ...
Administrative Assistant - Affordable Property Management
MMS Group and its affiliates (Arco Management, TUC Management, and GoldOller Real Estate Investments) .Our growing portfolio exceeds 40,000 residential units and includes high-rise luxury buildings, affordable housing cooperatives, subsidized rental properties, supportive housing, and conventional a...
Customer Service Representative - State Farm Agent Team Member
Are you a vibrant individual who thrives on providing exceptional customer experiences? Do you relish the opportunity to engage with the public and make a positive impact? If your answer is a resounding "yes," then embarking on a career journey with a State Farm independent contractor agen...