Appeals Specialist I - Portland

This position coordinates and monitors the resolution of grievances and appeals cases by investigating communicating with members and their advocates both verbally and in writing preparing presentations of all relevant documentation to medical committees for medical service deter ...

The Incident Management Specialist III coordinates and monitors the resolution of grievances and appeals cases by investigating, communicating with members and their advocates both verbally and in writing. · ...

+In addition to the responsibilities listed below this position also coordinates and monitors the resolution of grievances. · +Pursues effective relationships with others by proactively providing resources information advice and expertise. · Completes work assignments autonomous ...

As a Medical Dispute Specialist you will review medical bills and apply validate and defend WellRithms reimbursement methodology for each case. · ...

+b>Job summary · The Patient Authorization and Referral Representative (PARR) supports the core functional areas of specialist referral processing, diagnostic authorizations, prior authorization, denials/appeals, and training.+ · +h2+Qualifications · H.S. Diploma or GED · Require ...

+We are seeking a Revenue Cycle Management System Specialist to join our award-winning specialty pharmacy team. · +The Revenue Cycle Management System Specialist functions as the primary reimbursement authority within the pharmacy department. · This position oversees the identifi ...

Join our award-winning specialty pharmacy team as a Revenue Cycle Management System Specialist. This dynamic career opportunity will allow you to make a difference in revenue cycle outcomes related to high-cost specialty medications and infusion services. · ...

This position primarily processes and documents transactions on insurance accounts. · ...

The Peer Specialist uses a Person-Centered approach to create and work on a Peer-Assisted Wellness and Recovery Plan tailored to the specific needs of the individual receiving services, · Positively motivated and willing to meet and engage with people "where they are" · ...

The Director of Philanthropy strengthens the sustainability and impact of the YMCA by leading a disciplined, relationship-centered fundraising program. · ...

The Director of Philanthropy strengthens the sustainability and impact of the YMCA of Columbia-Willamette (YMCA-CW) by leading a disciplined, relationship-centered fundraising program. · Cultivates and stewards corporate donors, workplace giving partners, and ongoing business spo ...

The Power Generation Safety Manager is responsible for supporting the safety needs of Peterson Power Systems operations across California and Oregon. · ...

The Director of Philanthropy strengthens the sustainability and impact of the YMCA of Columbia-Willamette (YMCA-CW) by leading a disciplined, relationship-centered fundraising program. · Cultivates and stewards corporate donors, workplace giving partners, and ongoing business spo ...

The Peer Support Specialist supports residents of the Breitung building by creating a Wellness Plan tailored to their needs. · Provides peer support to residents. · Maintains lease requirements. · ...

The Oregon Department of Environmental Quality strives to build and sustain an inclusive and equitable environment that embraces and values diversity.We are an equal opportunity employer and do not discriminate based on race, color, national origin, ethnicity, · veteran status, g ...

The Director of Philanthropy strengthens the sustainability and impact of the YMCA of Columbia-Willamette (YMCA-CW) by leading a disciplined, relationship-centered fundraising program. · ...

+ Patient Authorization and Referral Representative · + Join our team at Providence Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding. · + Required Qualifications: H.S. Diploma or GED; 2 years Experience in Health Care Industry ...

Sun Life U.S. is one of the largest providers of employee and government benefits · We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. · The Front and Back-End Specialists are responsible for managing rejections billing help d ...

The Oregon Department of Environmental Quality seeks an Environmental Law Specialist to analyze and evaluate facts and evidence, as well as applicable rules, laws, and policies; review violator's compliance history; refine cases; develop appropriate enforcement or compliance stra ...

The Director of Philanthropy strengthens the sustainability and impact of the YMCA of Columbia-Willamette (YMCA-CW) by leading a disciplined, relationship-centered fundraising program. · A minimum of five-seven years' experience in individual, non-profit and/or corporate fundrais ...