- VNS Health (Manhattan, NY)
- …and advancement opportunities What You Will Do + Identifies case types (eg- clinical vs non- clinical appeals ) during the intake process, communicates ... provides administrative support to staff, including tasks such as clinical case file preparation for appeals . This...such as clinical case file preparation for appeals . This includes retrieving documents from related systems (such… more
- Catholic Health Services (Melville, NY)
- …Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate utilization ... management and appeals functions to include coordination of specific process and...| Ability to utilize critical thinking and apply sound clinical judgment and assessment skills for decision-making. | Knowledge… more
- Centene Corporation (Sacramento, CA)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... flexibility. Remote position. Must reside in California **2+ years grievance or appeals , claims or related managed care experience.** **Healthcare grievance and … more
- Centene Corporation (Phoenix, AZ)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... **Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... link Job Details: Internal Posting: 02/25/25 to 03/10/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of this class assists… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN41434B **Job Title** Outpatient/Provider Coder Level 3 **Working Title** Medical Appeals & Coding Specialist III **Job Grade** E **FLSA Code** Nonexempt ... attributes too. We are looking for an experienced **Medical Appeals & Coding Specialist ( MAC ) III** to...III , you will analyze and translate medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical… more
- CVS Health (Oklahoma City, OK)
- …day. **Position Summary** Responsible for intake, investigation and resolution of appeals , complaints and grievances scenarios for all products, which may contain ... responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance. Identify trends and emerging issues and report… more
- Intermountain Health (Salt Lake City, UT)
- …improve health care along the continuum of patient services. The BMT Coordinator is responsible for navigating patients through the multiple testing, consultations ... pharmacy and other associated with the patient's plan of care. The BMT coordinator must have exceptional communication skills with all members of the BMT/acute… more
- Robert Half Accountemps (Los Angeles, CA)
- …guidelines for use by examiners or Participant Services Representatives. * Assist Appeals Coordinator with the preparation of Benefits Committee appeal cases. ... in Los Angeles is in the immediate need of a Medical Claims Review Coordinator . The Medical Claims Review Coordinator , will be in responsible for investigating,… more
- HCA Healthcare (Manchester, NH)
- …care like family! Jump-start your career as a Medical Staff Services Coordinator today with Catholic Medical Center. **Benefits** Catholic Medical Center, offers a ... Come join our team as a Medical Staff Services Coordinator . We care for our community! Just last year,...play a key role in the integration of HCA Clinical Strategies and HCA systems. 1. Medical Staff Administration… more