Appeals Processing - 82+ job offers

Overview The Accounts Receivable Representative II – RCM is responsible for collecting outstanding accounts receivable from third party payers, both government and commercial. At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska. The base pay estima

Summary The Director of the Office of Federal Sector (OFS) is a Senior Executive Service (SES), General position, and serves as an agency leader for supporting the Commission's mission. The Office of Federal Sector, under the Chair, guides federal agencies on all aspects of the government's equal em

Oversee and coordinate the research of patient and insurance credit balances using online work lists, ensuring that appropriate refunds are requested and processed efficiently. Supervise the timely handling of refund requests received from Insurance Companies and Responsible Parties, maintaining hig

Join Us in Shaping the Future of Health Care At MVP Health Care, we’re on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and comm

Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Hourly Location: Support Center Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The sal

About iMPROve Health Come join the iMPROve Health team! iMPROve Health is Michigan’s Medicare-designated Quality Improvement Organization, and we’re proud to be recognized as both a Cool Place to Work by Crain’s Detroit Business (four years running) and one of Modern Healthcare’s Best Places to Work

Summary See below for important information regarding this job. Duties Help Serves as the Deputy Director of Equal Employment Opportunity (EEO). Assists the Office Director in planning, developing, establishing, and maintaining Agency- wide Equal Employment Opportunity policies, programs, regulation

About The Job Reports To Kristin Basballe, Associate Director This position serves as the primary financial aid coordinator for designated professional schools, colleges, and graduate students from across the University. This position serves as the principal contact for questions related to the fina

Summary Responsible for responding to routine correspondence and telephone inquiries pertaining to claims or appeals. Identifies incorrectly processed claims and completes adjustments and related reprocessing actions. Description Logistics: This position is full time (40 hours/week) Monday-Friday fr

Overview Who We Are Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health

Overview Resolves grievances, appeals and external reviews for VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), Fully Integrated Dual Advantage (FIDA) and Select Health. Ensures regulatory compliance, timeliness requirements and accuracy standards are met. Coo

Overview Resolves grievances, appeals and external reviews for VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), Fully Integrated Dual Advantage (FIDA) and Select Health. Ensures regulatory compliance, timeliness requirements and accuracy standards are met. Coo

New York State Department of Labor

$50,844 - $76,359 /año

Description Duties Description Supervise clerical and administrative support staff in a UIAB satellite office or one or more units in a regional office. Perform and/or supervise clerical staff in the intake and preparation of judicial documents and calendars including adjournments and ensure adheren

Inside Higher Ed

Compensation $42,056.00 Annual Job Description Summary The application deadline for this position is 11:59pm EST on March 24, 2026. The Senior Financial Aid Specialist reviews, analyzes, reconciles, and determines the award of financial aid funds to students based on established eligibility criteria

Compensation: $69,685 - $72,501 Compensation Type: Salary Employment Type: Regular Grade: Department: Academic Administration Position Summary Full-time positions at Clovis Community College are not remote positions and require a physical presence on campus to fulfill duties and college-related resp

Anticipated End Date: 2026-04-11 Position Title: Nurse Appeals Job Description: Nurse Appeals- Licensed Nurse Location: Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promot

Anticipated End Date: 2026-03-17 Position Title: Grievance/Appeals Representative I Job Description: Title: Grievance/Appeals Representative I Locations: Woburn, MA and Manchester, NH This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while p

Description Duties Description Track and coordinate the processing of appeals; Provide support to legal staff; Research status of appeals request; Proof reading and quality assurance of hearing decisions and dismissals; Data analysis and compilation; manage exhibit process, Assist in processing and

Job DetailsJob Location: Daly City, CA 94014Salary Range: $32.08 - $36.15 HourlySUMMARY OF POSITION: The Patient Account Specialist I interprets EOBs for correct payment verification, adjustments, and denials. The Patient Account Specialist I is also responsible for handling outstanding claims on ag

General Description Responsible for conducting member assessments, educating members of plan benefits, and connecting members to community partner agencies and other community resources. The agent will work closely with various departments within HPMS to ensure regulatory compliance. Duties & Respon