- Corewell Health (Grand Rapids, MI)
- Job Summary The Appeals intake coordinator position is focused on the processing of incoming member and provider Medicare appeals and grievances. This ... 1239 E Beltline - Grand Rapids Department Name PH - Grievance And Appeals Medicare Employment Type Full time Shift Day (United States of America) Weekly… more
- VNS Health (Manhattan, NY)
- …grievances and appeals across our Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health product lines. * Ensure Compliance: Stay ahead ... management of clinical appeals review processes within Appeals & Grievances Department. + Manages the intake...Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Part D, or Select Health to… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Appeals and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written ... complaints, grievances and requests for appeals that involve complex matters submitted by Members and Providers. This position will perform comprehensive research to… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Intake & Customer Service Specialist Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2891944&source=2891944-CJB-0) Job Title: Intake and Customer Service Specialist Job Status: Full-time Job… more
- Arab Community Center for Economic and Social Serv (Sterling Heights, MI)
- Intake and Customer Service Specialist Department: Community Health & Research Center Location: Sterling Heights, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=3271579&source=3271579-CJB-0) Job Title: Intake and Customer Service Specialist Job Status: Full-time Job… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Data Intake Specialist is responsible for accurately entering, reviewing, and validating data in departmental processing systems, ... members and providers. The Specialist also provides critical support to the Appeals & Grievances, Billing, Coordination of Benefits, and Enrollment teams by ensuring… more
- CenterLight Health System (NY)
- …ensuring the integrity of payment configuration, and processing of claims appeals . This position will work collaboratively with CenterLight key stakeholders as ... cause analysis, over/under payment, reconciliation to provider contracts/agreements and Medicare /Medicaid fee schedule. + Develop analytics of payment trends that… more
- State of Colorado (Pueblo, CO)
- …by law to receive information with or without patients consent ( Medicare , Medicaid, Attorneys, Social Security and Courts). Maintains release of information ... accuracy of core measures for admission from the BH intake in BEHR. + The discharge measures consist of...Third party payers include, but are not limited to Medicare , Medicaid, Tri-Care, and private insurance carriers. Duties include:… more
- Sonora Quest (Chandler, AZ)
- …to Patient Services staff to help manage patient flow throughout the intake process. Identifies potential Patient Financial Assistance & payment arrangements through ... standards._ **CORE FUNCTIONS** 1. Advocates with patients during site intake process; appointment scheduling, registration (which includes entry of patient… more
- State of Colorado (Denver, CO)
- …programming. Supervision. This position has first level supervisory responsibility for an Intake and Resource Specialist in the Acute Residential Program. + Provide ... (non-direct contact): CBI name check, ICON Colorado court database, Medicare fraud database, Reference checks, Professional License verification (licensure… more