Medicare Appeals Specialist - Philadelphia

The Medicare Appeals Specialist is responsible for independently coordinating Part C & Part D Expedited, Pre-Service and Standard Appeals and Grievances from receipt to resolution. · ...

+Job summary · The Appeals Specialist coordinates Medicaid & CHIP Standard and Expedited Complaints and Grievances. · +++ ...

The Medicare · Appeals Specialist coordinates Part C & Part D Expedited, · Pre-Service, · & · Standard Appeals · & · Grievances · .Able to work in a constant state of alertness and safe manner · Maintains corporate policies and procedures · Demonstrates ability to process compl ...

The Medicare Appeals Specialist is responsible for independently coordinating Part C & Part D Expedited, Pre-Service and Standard Appeals and Grievances from receipt to resolution. · Ensures the timely and accurate documentation, review, routing and tracking of member issues in c ...

The Patient Access Appeals Specialist plays a critical role in securing payer coverage for patients by partnering with internal teams to provide customer support throughout the appeals process. · Partner with internal partners to secure HFX Access and drive effective pull-through ...

At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a cultu ...

At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a cultu ...

Revenue Cycle Specialist – Orthopedic Surgery & Pain Medicine (Collections Focus) · Job Summary · We are seeking an experienced Revenue Cycle Specialist with a strong background in medical claims collections, specifically in MVA, workers' compensation, and commercial healthcare i ...

As the Supervisor, Appeals and Grievances you will oversee daily operations, staffing, · and performance for a remote team of 15 Appeals & Grievance Specialists, · Administrator, and Team Leads supporting our Pennsylvania Medicaid business. · ...

Job Description · On behalf of VetJobs/MilitarySpouseJobs, thank you for your interest. We are assisting our partnering company, listed below, with this position. It is open to Veterans, Transitioning Military, National Guard Members, Military Spouses, Wounded Warriors, and their ...

Job Description · On behalf of VetJobs/MilitarySpouseJobs, thank you for your interest. We are assisting our partnering company, listed below, with this position. It is open to Veterans, Transitioning Military, National Guard Members, Military Spouses, Wounded Warriors, and their ...

Job Description · On behalf of VetJobs/MilitarySpouseJobs, thank you for your interest. We are assisting our partnering company, listed below, with this position. It is open to Veterans, Transitioning Military, National Guard Members, Military Spouses, Wounded Warriors, and their ...

+Society for Industrial and Applied Mathematics (SIAM) seeks a creative and skilled Digital Marketing Specialist. · +'+Bachelor's degree · + · +'+ · ' · ' · ' , 'valid_job':1} }' ...remove last comma from previous object in order to be valid json... {"explain_rem ...

We are looking for a Field Reimbursement Specialist to serve as a subject-matter expert on reimbursement, access, and coverage issues. The ideal candidate will have expertise in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies. · ...

Weber Gallagher seeks an organized and professional collection specialist to support our Philadelphia office. This position has flexibility to work remotely from multiple states. · This job represents businesses, employers, and individuals in multiple areas of law. · Prepare mont ...

The Utilization Management Manager plays a vital role in ensuring patients have timely access to care by managing both front-end prior authorizations and in-house concurrent review authorizations. · This position blends strong relationship-building skills with clinical knowledge ...

This is a fully remote part-time job for a Social Media Marketing Specialist to develop and implement social media strategies. · ...

The Utilization Management Manager plays a vital role in ensuring patients have timely access to care by managing both front-end prior authorizations and in-house concurrent review authorizations. · This position blends strong relationship-building skills with clinical knowledge ...

We empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. · The Utilization Management Manager plays a vital role in ensuring patients have timely access to care by managing both front-end prior authorizations and i ...

The Utilization Management Manager plays a vital role in ensuring patients have timely access to care by managing both front-end prior authorizations and in-house concurrent review authorizations. · ...