Provider Appeals - Phoenix, AZ

We are seeking a dedicated Provider Appeals & Grievance Specialist with 1 to 2 years of experience to join our team. · ...

Maintains State Fair Hearing Logs with appropriate information required by HP policy, · Reviews all State Fair Hearing requests by members and providers, · May attend State Fair Hearings.Coordinates and assists the Grievance & Appeals Manager in preparing for higher levels of app ...

Pride Health is hiring for a Grievances and Appeals Nurse. · ...

We are looking for a Senior Coordinator to manage the resolution of appeal scenarios for all products. · The ideal candidate will be responsible for researching and resolving incoming electronic appeals as appropriate, · trends in misrouted work and can identify reroute inappropr ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. · Responsible for m ...

This position functions as a Legal Assistant to provide support to the Administrative Law Judges (ALJs) at the Appellate Services Administration (ASA). · ...

We are looking for dynamic individuals to join our team as Clinical Review Specialists. As a member of our Patient Financial Services NSA division, you will review and process appeal letters related to medical necessity for denied air ambulance transport claims submitted to insur ...

This position functions as a Legal Assistant to provide support to the Administrative Law Judges (ALJs) at the Appellate Services Administration (ASA). · ...

We're looking for a Senior Manager, Property Tax to lead corporate real estate tax functions across a diverse portfolio. · ...

summaryThis position functions as a Legal Assistant to provide support to the Administrative Law Judges ALJs at the Appellate Services Administration ASA This function is mission critical as ASA requires this position to review requests for an appeal select exhibits for hearings ...

Medical Appeals Specialist (Remote) Turn denied claims into paid claims — from home. · ...

As Trust and Safety Team Lead you will manage a pod of appeals specialists while supporting our appeals and operational framework that scales with Trust Risk. · ...

CVS Aetna seeks a dedicated Senior · Coordinator to join our remote team. · In this role, · you'll play a critical role that supports the daily operations · of the Commercial Member Clinical Appeals (CMCA) team. ...

Job summary · Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · Review denied medical claims and identify root-cause issues · ...

Turn denied claims into paid claims — from home. · ...

The Cultivation Manager leads the strategy, development, and execution of single-gift fundraising appeals to generate income for FH's field ministry. · ...

The UM Clinical Support Specialist plays a vital role in supporting the leadership of the Utilization Management team by collecting, analyzing and reporting data. · ...

The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies.You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough ...

Join Our Life-Saving Team and take advantage of a Sign on bonus up to $7500 while it lasts. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives when every second counts. · ...

This Team and Make an Impact · Are you a strategic property tax professional ready to lead and optimize real estate tax operations? · Evaluate property tax assessments and determine appeal viability using cost, income, and sales comparison approaches · Conduct comprehensive case ...