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Appeals jobs

Appeals Manager
Lawrenceville, IL 62439
Appeals Manager, Indianapolis, IN, Green Bay, WI, Lawrenceville, IL. Analyzes and identifies trends for all appeals and grievances....
Appeals and Grievances Medical Director - Virtual - Oncologi...
Chicago, IL 60290 (Loop area)
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare...
Appeals and Grievances Medical Director - Virtual
Chicago, IL 60290 (Loop area)
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare...

Customer Service Representative

Greensboro, NC 27497
This could include connecting members with community resources, assisting members to locate a specialist, supporting the intake and resolution of appeals and...

Clinical Appeals Reviewer - Denials Team

Atlanta, GA +3 locations
Position Description: Energize your career with one of Healthcare’s fastest growing companies. You dream of a great career with a great company - where you...

Appeals Representative

San Antonio, TX 78208 (Government Hill Alliance area) +3 locations
Communicates with appropriate parties regarding appeals and grievance issues. Analyzes and identifies trends for all appeals and grievances....

Clinical Pharmacist, Prior Authorization / Appeals

Indianapolis, IN 46262
Experience in Coverage Determinations (prior authorization) or member appeals. The purpose of this position is to process requests for insurance coverage of...

Appeals Manager

Lawrenceville, IL 62439 +2 locations
Analyzes and identifies trends for all appeals and grievances. Communicates with appropriate parties regarding appeals and grievance issues, implications and...

Telephonic Clinical Appeals Reviewer

San Francisco, CA
Basic appeal rights, Appeals status, General process, Basic complaints, Urgent appeals. Analyzes and identifies trends for appeals and grievances....

Clinical Appeals Reviewer (LHI)

La Crosse, WI 54602
At Optum, the mission is clear: Help people live heathier lives and help make the health system work better for everyone LHI is one of 4 businesses under...

Clinical Appeals Reviewer

Atlanta, GA +1 location
Handle high claims and appeal volume while using internal Claim, UM / UR Behavioral Health, Medical claims / appeal management processes....

Senior Appeals Representative

Westerville, OH 43082 +2 locations
Complete necessary documentation of final appeals or grievance determination using appropriate templates....

Supervisor Appeals

San Antonio, TX 78208 (Government Hill Alliance area)
Analyzes and identifies trends for all appeals and grievances. Experience with insurance appeals OR Dental / Insurance Claims experience....
Senior Appeals Representative
Complete necessary documentation of final appeals or grievance determination using appropriate templates....
Appeals Representative
Westerville, OH 43082
Complete necessary documentation of final appeals or grievance determination using appropriate templates....
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