Job Description: The RCO Appeals Hearing Specialist is responsible for investigating, coordinating and managing legal... Health legal team, Physician Advisors, and Appeals RN consultants in their various capacities. Fully remote position...
& Appeals Nurse Specialist to join our team. The Grievance and Appeals Nurse Specialist participates in managing medical appeals... will ensure appeals and state hearing requests are processed in accordance with regulations, compliance standards and policies...
for all activities related to the Grievance System including complaints, Notice of Adverse Benefit Determination (NOABD), appeals... and appeals and responds to internal staff or outside providers/vendors as needed. Ensures the review and dissemination...
, public-facing appeals and hearings, and managing risk for the agency. The Compliance Specialist will have the opportunity... and safety, and increasing opportunities for equitable growth. Your Team The Compliance Specialist will play a key policy...
to be taken Manages appeals process for Section 72 appeals, including arrangement of hearing officer, all communications, and may... assist in the administrative hearing presentation. Assists in the development of revised and/or new Labor Relations...
& implements program to process financial appeals, including review of complex case reconsiderations & formal hearing requests...The Health Finance Resource Specialist Supervisor will work under the direction of Complex Medical Help (CMH...
Description Riverside Healthcare is seeking a skilled and detail-oriented Utilization Review Specialist... that the care provided aligns with clinical guidelines and payer requirements. The Utilization Review Specialist will work...
Description DSHS ESA Social Service Specialist 2 If you are ready to embark on the next step of your social service... career, consider this exciting opportunity. The (ESA), is currently seeking a Social Service Specialist to join our team...
as needed, including appeals documents and representing the agency during a hearing Advises employees and management on the disciplinary... provides direct supervision over the Training and Development Specialist 2 and has functional supervision over an HR...
and supporting referral data; Manages appeals process for Section 72 appeals, including arrangement of hearing officer... is seeking candidates for the position of Human Resources Specialist 3 (Labor Relations) in Human Resources Management. Duties...
Job Posting Title: Pre-Appointment Intake Specialist ---- Hiring Department: Dell Medical School ---- Position... Notes UT Health at The Dell Medical School is seeking a Pre-Appointment Intake Specialist Purpose The Pre-Appointment...
Job Posting Title: Pre-Appointment Intake Specialist ---- Hiring Department: Dell Medical School ---- Position... Notes UT Health at The Dell Medical School is seeking a Pre-Appointment Intake Specialist Purpose The Pre-Appointment...
COURT SPECIALIST Category: Full-Time Status: Open Hourly: Min $18.815 - Mid $23.518 Published: April 24, 2025... to functioning as a Court Specialist. To daily perform a variety of complex duties based on Standing Orders provided by the Presiding...
of Job Duties: The Senior Clinical Billing Specialist is an area expert, works under general direction, and is responsible... and regulations to resolve issues. The Senior Clinical Billing Specialist will review reports and monitor the status of accounts...
of Job Duties: The Senior Clinical Billing Specialist is an area expert, works under general direction, and is responsible... and regulations to resolve issues. The Senior Clinical Billing Specialist will review reports and monitor the status of accounts...
of Job Duties: The Senior Clinical Billing Specialist is an area expert, works under general direction, and is responsible... and regulations to resolve issues. The Senior Clinical Billing Specialist will review reports and monitor the status of accounts...
of Job Duties: The Senior Clinical Billing Specialist is an area expert, works under general direction, and is responsible... and regulations to resolve issues. The Senior Clinical Billing Specialist will review reports and monitor the status of accounts...
practices and operate nationwide. Job Description: The opportunity: The Complaints & Grievances Specialist II handles... for the investigation and resolution of complaints, grievances and member appeals based upon specific regulatory requirements...
practices and operate nationwide. Job Description: The opportunity: The Complaints & Grievances Specialist II handles... for the investigation and resolution of complaints, grievances and member appeals based upon specific regulatory requirements...
Senior Clinical Billing Specialist is an area expert, works under general direction, and is responsible for research... and regulations to resolve issues. The Senior Clinical Billing Specialist will review reports and monitor the status of accounts...