Description : The Appeals Team Lead will be responsible for providing expertise or general support in reviewing...: Answer team questions as needed Monitor and work QC queue Responsible for distribution of appeals Review appeal...
Description : The Appeals Team Lead assists injured workers, claims examiners, attorneys, providers, etc. in locating.... This role is responsible for documenting bill review errors to improve team error rate trend. The Provider Relations Specialist...
Are you a natural leader ready to take charge? Our client is looking to hire an Appeals Setup Team Lead in Fort Worth..., TX to manage and motivate a high-performing team responsible for reviewing and completing department appeals. In this key...
determinations, and denials/appeals) and makes recommendations to improve performance. Achieves and maintains high levels... involvement. Facilitates as lead staff at various organizational level meetings often represents the organization with respect...
timely review and routing of incoming correspondence Assign appeals to appropriate team embers based on established... workflow, ensuring timely assignment of appeals, and maintaining accurate tracking systems. This position...
of employees. If you thrive in a fast-paced environment and want to make a meaningful impact, we want you on our team... & welfare plans. Support audits, investigations, and participant claims/appeals. Negotiate and review vendor agreements (TPAs...
audits and/or appeals. Attends Clinical Team Meetings, All Company Meetings, Education Opportunities, Trainings... AND RESPONSIBILITIES: Reviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines...
. Strategic Planning: Lead the shared development and implementation of a departmental strategic plan. Institutional... Collaboration: Work with the college dean and their leadership team, as well as administrative leadership in academic affairs...
Privacy and Security Rules Assist Quality Control team and medical director with appeals, rebuttals, etc. Notify leadership... Ability to work independently and in a team environment High attention to detail Must possess critical thinking skills...