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Coder Denials - Revenue Cycle - FT days - Service Center (Om...
CHI Corporate - Omaha, NE 68182
Change coding based on documentation to include diagnosis codes, modifiers, place of service, etc. Communicate with provider to resolve claims that require a...
Denial & Appeals Coordinator RN, Social Work, Full Time, 8A-...
Functions as a lead member of the Care Coordination team to ensure high quality patient care, appropriate length of stay, efficient resource utilization and...
Director Claims
Corizon Health - 507 reviews - Brentwood, TN
Directs Operational functional areas that include specialized business units for Claims Examiners, Systems Configurations, Quality/Audit, Appeals and Reviews,...

Crime Victim Advocate 1

Pierce County Washington - Tacoma, WA 98402 (Newtacoma area)
$28.99 - $36.67 an hour
The office is comprised of the Criminal Division, which includes the Homicide and Violent Crimes Division, Major Crimes Division, Misdemeanor Division, Juvenile...

Development Coordinator

Feed The Children - 37 reviews - Oklahoma City, OK
This includes meeting coordination, expense management, appeal mailing execution, file organization, digitization of various material, corporate gift and...

Senior Literacy Consultant

State of Colorado Job Opportunities - 179 reviews - Denver, CO
$5,667 - $6,000 a month
Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights. Description of Job....

Clinical Appeals Specialist

Health Partner Plans, Inc. - Philadelphia, PA 19107 (City Center East area)
Keeps current with all rules, regulations, policies and procedures relevant to the Complaints, Grievances and Appeals Unit....
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Mount Aloysius College - 18 reviews - Cresson, PA 16630
Preparation of correspondence and other documents such as official student notices, meeting minutes, etc. Gathers and organizes documentation for the student...

Claims Processor

Custom Design Benefits - Cincinnati, OH 45247
Maintain appeal log and monitor responses to determine if second level appeals are required. Respond to all first-level appeals;...
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Clinical Reviewer - Irvine

Santa Ana (SAN) - RCPS - Santa Ana, CA
Documents clinical justification for Appeal requests. Performs on line documentation of clinical justification for hospital stays and pre screening of files to...

Administrative Assistant

Historic House Trust of New York City - New York, NY 10065 (Upper East Side area)
$50,000 - $60,000 a year
Coordinating various mailings in conjunction with program staff including but not limited to quarterly newsletter and year- end appeal;...
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State of Colorado Job Opportunities - 179 reviews - Denver, CO   +1 location
$5,115 - $7,487 a month
A standard appeal form is available at:. If you appeal, your appeal must be submitted in writing on the official appeal form, signed by you or your...

Equal Opportunity Consultant

University of Utah - 348 reviews - Salt Lake City, UT
$75,000 - $85,000 a year
Serves as a support and a resource during appeals or other University hearing processes. Serves as a resource to University administrators, patients, guests or...
Physician Peer Reviewers
FOCUS HEALTH INC - Seminole, FL 33777
FOCUS’ Peer Reviewers conduct more than 100,000 reviews each year, using the health plan’s evidence based criteria, for delegated and non-delegated initial...
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Quality Reviewer
MetaStar, Inc. - Madison, WI 53713
$55,000 - $65,000 a year
Review and mediation activities associated with FC, FCP, PACE, IRIS waiver programs member appeals and grievances....
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