Grievance & Appeals Specialist - Doral

The Grievance & Appeals (G&A) Specialist will facilitate member grievance and appeal process by investigation, documentation and preparation of case files to meet all Centers of Medicare and Medicaid Services (CMS). · Position is onsite Monday-Friday. ...

Provides entry level support for claims activities including reviewing and resolving member and provider complaints. · ...

Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and ...

The Appeals Specialist is responsible for all duties related to managing payor contracts, · negotiation,and renegotiation of new and existing payor contracts.This position will be responsible for resolution of assigned cases, · accurate and timely documentation of case actions, · ...

The Appeals Specialist is responsible for all duties related to managing payor contracts, negotiation, and renegotiation of new and existing payor contracts. · ...

· Job Title: Appeals Specialist · Reports to: Appeals Supervisor · Employment Status: Full-Time · Work Location: On Site - Fort Lauderdale, FL · Job Summary: · The Appeals Specialist is responsible for all duties related to managing payor contracts, negotiation, and renegotiatio ...

The Appeals Specialist is responsible for all duties related to managing payor contracts negotiation and renegotiation of new and existing payor contracts. · This position will be responsible for resolution of assigned cases accurate and timely documentation of case actions assis ...

The Broward County Board of County Commissioners is seeking qualified candidates for Tax Appeal Specialist. · Balances cash drawer in order to ensure money (bills, coins, and checks) in drawer matches funds processed. Requirements And Preferences · Vacation (Paid Time Off) = 2 we ...

The Broward County Board of County Commissioners is seeking qualified candidates for Tax Appeal Specialist. Performs a variety of activities associated with Value Adjustment Board (VAB) petition filing in the Finance and Administrative Services Department (FASD). Updates/maintain ...

The Broward County Board of County Commissioners is seeking qualified candidates for Tax Appeal Specialist. · This position works under close to general supervision according to set procedures. · ...

The Accounts Receivable Specialist is responsible for processing insurance claims and billing. · Processes claims: investigates insurance claims; and properly resolves by follow-up & disposition. · Verifies patient eligibility with secondary insurance company when necessary. · ...

We are seeking a FULL-TIME Medical Claims Collections Specialist with a minimum of 2-3 years' experience in medical claims collections. · ...

The employee is responsible for monitoring program requirements under the National School Lunch Program and conducting on-site reviews in accordance with federal regulations. · ...

Long term employment with opportunities for growth discover more about our organization culture and employee benefits by visiting this page explore life at seaboard marine we offer excellent benefits from day one including low cost health dental and vision insurance starting day ...

Overview · Fresco y Mas is committed to fostering a work environment where all associates can be authentic, feel valued, while reaching their full potential.  · Job Title: Seafood SpecialistLocation: Retail Grocery Location · Position OverviewThe seafood specialist will support t ...

We are seeking a Prior Authorization & Referral Specialist to join our team. · Authorization Management: Secure prior authorizations for both cardiology procedures (Stress Tests, Echoes) and vascular interventions (Vein Ablations, Angiograms, Ultrasounds). · Patient Advocacy: Com ...

The Authorization Specialist completes authorizations and referrals for all medical services. Verifies information provided by referring physicians and verifies insurance coverage. · Verifies information provided by referring physicians and verifies insurance coverage. · Analyze ...

The Authorization Specialist completes authorizations and referrals for all medical services. · Verifies information provided by referring physicians and verifies insurance coverage. · Analyze patient records and insurance policies to determine if procedures, treatments, or medic ...

Overview: · Fresco y Mas is committed to fostering a work environment where all associates can be authentic, feel valued, while reaching their full potential. · Job Title: Seafood Specialist · Location: Retail Grocery Location · Position Overview · The seafood specialist will sup ...

The Miami office of Lewis Brisbois is seeking an Appellate/Trial Support Associate Attorney with at least two to fifteen years of appellate experience. Admission to the Florida Bar is required. · ...