Medicare Appeals Specialist - Philadelphia, PA

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

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. · ...

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 coordinates Part C & Part D Expedited, Pre-Service and Standard Appeals and Grievances.Must have a broad knowledge of products and benefits as well as have an understanding of regulatory requirements and timeframes. · ...

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

The Appeals & Grievance Case Resolution Specialist is responsible for the full life cycle of assigned member and/or provider appeals and grievance cases. · ...

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 ...

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. · ...

+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 ...

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 ...

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. · ...

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 to ...

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. · ...

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. · This position blends strong relationship-building skills with clinical knowledge ...

The Judge Group seeking a highly detail-oriented and analytical professional to join our team as a Benefits Incident Resolution Specialist. · ...

A Healthcare Claims Specialist with strong Medicare claims processing experience is sought to join a growing healthcare organization. · ...