perspective on workplace flexibility. Position Purpose: The Supervisor of Appeals & Grievances is accountable for the recruitment... members. Continually trains Unit members concerning grievances, appeals, and provider disputes/appeals. Regularly...
means to be part of Mass General Brigham. Job Summary The Duals Supervisor, Appeals and Grievances provides day-to-day.... Manager, Appeals and Grievances, as well as other senior and executive staff, to ensure optimum performance within the Appeals...
member and provider inquiries, concerns, complaints, appeals, and grievances. Conduct weekly 1:1s with direct reports... Solution Center Appeals and Grievances is responsible for direct supervision and support of the team responsible for the intake...
What You Will Do: Supervises the intake, investigation and resolution of appeals and grievances, member and provider, for the Managed Long Term...Overview: Supervises and monitors department staff members' handling of grievances and appeals for all product lines...
Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints...; benefit coverage appeals and reconsiderations, and complex provider claim disputes. The position is further responsible...
and Grievances Department and Provider Appeals Department with 20 hours dedicated to each department per week. Act as the initial... investigator and contact person for grievances and appeals, which includes, sending the appropriate acknowledgement of the...
JOB SUMMARY: Responsible for all written inquiries from members seeking resolution through the grievance and appeals... process. KEY RESPONSIBILITIES: Researches member issues and prepares grievance and appeals information for each level...
Pay Offers: $18 to $24/hr Primary responsibilities would include triaging incoming appeals / grievances, categorizing... time is 72 hours, but we start with standard appeals). The job requires use of our Appeals and Grievances system called...
, grievances, and appeals. Prepares and reports documentation supporting verbal and written provider claims and pre-authorization...Company: Compassus Position Summary The Revenue Cycle Supervisor is responsible for modeling the Compassus values...
functioning of the plan’s grievance and appeals processes. Along with the nurse supervisor and manager, identify opportunities... for acceptable medical care. Reviews and resolves grievances related to medical quality of care and actively participates in the...
accurately. Resolve and record complaints, appeals, and grievances for Medical and Pharmacy within Medicaid guidelines... and delivers timely, accurate responses. Additionally, the Lead supports the Medicaid supervisor and department with training...
inquiries and escalates grievances to supervisor. Maintains new and existing patient profiles and enters new prescriptions... scope of knowledge and authority to determine the type of appointment, appropriate provider, and urgency needed. Assists...