JOB SUMMARY The Denial Resource Center Appeal Support Specialist is responsible for ensuring that complete.... The Appeal Support Specialist processes submissions of reconsiderations, redeterminations, appeals, resubmissions...
Overview : The Arbitration Specialist III is responsible for the review, investigation, and reopening of closed out..., submissions, and outcomes to support audit readiness and internal review. Identifies and communicates trends, recurring closure...
Behavioral Health Escalation Specialist is an individual contributor role responsible for an exciting variety of responsibilities... Support issue resolution for a variety of internal and external customers Work independently Mentor others Act...
carriers’ timely filing deadlines, claims submission and resubmission processes, and appeal processes. Lead the development... for escalation of data to payer relations team. Support department leadership through research, analysis, and special project...
-Rated Outlook in 2025. Proud partner of the Military Spouse Employment Partnership. Connection & Support Employee... each payer's specific guidelines (rates, filing/appeal deadlines, forms, etc.) as needed. Promptly reply to inquiries made...
designed to support their well-being. Our benefits include: Medical Coverage – Three new BCBSAL medical plans... network of in-network providers. Mental Health Support – Improved access to services and a new Employee Assistance Program...
designed to support their well-being. Our benefits include: Medical Coverage – Three new BCBSAL medical plans... network of in-network providers. Mental Health Support – Improved access to services and a new Employee Assistance Program...
to eligible employees. Our benefits are designed to support your overall wellbeing, and include: PPO medical plan, available day.../diagnosis code information to support authorizations according to carrier guidelines Coordinates provider peer-to-peer...
. Also, to ensure the clinical evidence and provider documentation supports the assigned codes and DRG. Compose and submit appeal... for additional education to individual Coders/CDI Specialist's and/or the entire Coding/CDI Teams. Report these trends/opportunities...
are maintained and standards are met regarding the grounds, amenities and overall curb appeal and provides support to the service... as requested by Service Supervisor and/or Community Manager, and assists the make-ready specialist in the turn process. 4. Changes...