match) Generous PTO 8 Paid Holidays Equipment Provided for Remote Roles Overview The Appeals Representative... issues as needed and processes all appeals including Medicare, Medicaid, Blue Shield, and Commercial carriers. Essentials...
Anticipated End Date: 2026-02-13 Position Title: Grievance/Appeals Representative I Job Description: Title...: Grievance/Appeals Representative I Locations: Woburn, MA and Manchester, NH This role requires associates to be in-office 1...
Position Overview: We are a new law firm specializing in Veteran Disability Appeals, Social Security Disability..., and Personal Injury cases. We are seeking a motivated Legal Intake Representative to contact inbound leads and guide veterans...
appeals accordingly. Maintains accuracy and production to ensure invoices are being processed efficiently. ESSENTIAL DUTIES... AND RESPONSIBILITIES: Reviews ETM task list assignment, comments, and rebills/appeals claim as necessary Reviews denials to determine...
appeals accordingly. Maintains accuracy and production to ensure invoices are being processed efficiently. ESSENTIAL DUTIES... AND RESPONSIBILITIES: Reviews ETM task list assignment, comments, and rebills/appeals claim as necessary Reviews denials to determine...
making Complete necessary documentation of final appeals or grievance determination using appropriate templates Communicate... Must be 18 years of age OR older 2+ years of experience analyzing and solving appeals and grievances in an office environment...
documentation to the senior representative for carrier related issues Reviews carrier provider manuals for billing updates...-offs, fee schedules, claims, etc. Performs any and all duties as directed by Senior Representative, Supervisor...
This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier commu...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals...
SUMMARY Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst... appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the...
SUMMARY Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst... appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the...
Under the general direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible... per State and Federal regulations for the professional and compliant management and coordination of assigned member appeals...
SUMMARY Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst... appeals and grievance (complaints) received by Point32Health. This individual works collaboratively with the member and/or the...
Overview : The Supervisor – Arbitration Appeals is responsible for the oversight, management, and strategic direction... accommodation) Supervises and provides day-to-day leadership for Arbitration Closure Appeals staff, including workload management...
Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health... on industry accepted criteria. Responsibilities: RESPONSIBILITIES Clinical Denials/Appeals Performs retrospective (post...
This position will support our non-contracted provider post claim appeals submitted to the health plan. Job Summary... to other team members. The Senior Appeals Analyst makes decisions on moderately complex issues regarding technical approach...
Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health... on industry accepted criteria. Responsibilities: RESPONSIBILITIES Clinical Denials/Appeals Performs retrospective (post...