Search Results: 33,381 vacancies
...Judicial Law Clerk - Court of Appeals
Job no: 5015296
Work type: Full-Time (Salaried)
Location: Richmond (City), Virginia
Categories: Law / Judiciary
Title: Judicial Law Clerk - Court of Appeals
State Role Title: Senior Law Clerk
Hiring...
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...Judicial Law Clerk - Court of Appeals of Virginia - Alexandria
Job no: 5006310
Work type: Full-Time (Salaried)
Location: Alexandria, Virginia
Categories: Law / Judiciary
Title: Judicial Law Clerk - Court of Appeals of Virginia - Alexandria...
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...States*** JOB DESCRIPTION
Job Summary
Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members or authorized...
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...Type: Full-Time
Job Number: 00202
Department: Court of Appeals Chambers-Carson City
Opening Date: 02/16/2024
Closing Date... ...for law clerkships starting in Summer/Fall 2025 .
As a law clerk, you'll work directly with a Judge, assisting in processing appeals...
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Director Member and Provider Appeals Remote in Washington, Oregon, Utah or Idaho Primary Job PurposeProvides leadership for operational areas within Clinical Services including functions such as Medical Management (Prior Authorization and IP Concurrent Review), Member and...
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Job Type
Full-time
Description
Job purpose
~ The Appeals Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, handling correspondence letters and writing appeals to correct payment amount...
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Local area
...spent on the particular responsibility - High to Low
1.
Manages workflow for Humana PPI Audits, RAC Audits, or Outpatient Appeals and communicates daily with Sr. Director/Manager on trends identified
2.
Responds to queries within 72hrs, appropriately documents...
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...Job Description
Division/Unit: Appeals Division
Position Title: Appeals Paralegal
Civil Service Title: Community Associate
Salary Range: $49,000 - $51,984
Job Description:
The New York County District Attorney's Office anticipates openings beginning in...
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...Job Opening: Summary Appeals Secretary
Department: District Attorney
Posting Date: March 8, 2024
Salary: $18.93/hour
Annually: $34,455.00
Shift: Monday-Friday 8:30am-4:30pm
Duties of Position
Receive and process summary appeals for the District Attorney...
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Monday to Friday
Description
Summary:
Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate will be a liaison...
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...Description
Job Title: Appeals & Grievances Coordinator
Department: Appeals and Grievances
Supervisor: Manager, Appeals & Grievances
FLSA Status: Nonexempt
Summary
The Appeals and Grievances coordinator position is focused on the processing of customer...
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...Company Generac Power Systems
Name Appeals & Grievances Specialist I
Req # 64199
Employment Type Full Time
Shift 1st
It's a challenge, and an invitation. Most importantly, it's an opportunity to join an industry leader.
There...
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...reside near our Office Locations:
Tustin, CA - Las Vegas, NV - Oklahoma City, OK - Uniondale, NY - Tampa, FL
The Grievances and Appeals Analyst I will be responsible for investigating and resolving member, Health Plan Partner-member and network provider grievances...
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...JOB TITLE: Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt
DEPARTMENT: Appeals and Grievances
REPORTS TO: Supervisor, Appeals & Grievances
JOB SUMMARY: Responsible for reviewing and resolving member complaints and appeals and communicating resolution...
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...within the State of North Carolina. In addition, the Legal Office provides executive oversight and leadership for the Hearings and Appeals Unit. The Hearings and Appeals Unit provides coordination of fee-for-service appeals and grievances by beneficiaries and claimants...
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...Job Description
Role : Appeals Project Specialist
Estimated Duration : 6+ months
Location: Phoenix, AZ (hybrid)
Position Description
Reviewing medical records and writing administrative reviews- looks at recommendations by doctors, learning Client rules...
Remote job
Responsibilities
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed ...
Local area
...ESSENTIAL DUTIES AND RESPONSIBILITIES
•Track all appeals activity in collaboration with the Director of Denials and Appeals.
•Maintain all files as needed;
•Answer all hospital queries and provide guidance to appeals process.
•Assist appeals staff to track and...
...Appeals and Compliance Specialist
Starting Salary: $84,495 - $101,395
This position reports to the Executive Director and is responsible for managing complaints, informal resolution meetings, mediations, and appeals, ensuring compliance with state and federal laws...
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...benefits including a fresh perspective on workplace flexibility.
+ Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal
+ Ensures timely review, processing, and response to...
Hourly pay
Holiday work
Remote job
Flexible hours
