Manager, Appeals - Lake Forest, CA

Manager, Appeals & Denial Resolution · Manager, Appeals & Denial Resolution: · The Strategic Appeals Manager role is responsible for managing denials, designing, leading, and optimizing appeal process for multiple appeal levels with the goal to maximize reimbursement, reduce deni ...

The Strategic Appeals Manager role is responsible for managing denials and designing appeal process to maximize reimbursement and reduce denials. · Help identify payer trends and root causes of denials. · ...

+We are seeking a Permanent Store Manager for our thriving Tech Services industry. · +Overseeing all store operations, ensuring that our processes run smoothly and efficiently. · Managing and motivating our team to exceed customer expectations with fast, accurate, and friendly se ...

Description · About the Organization: · Advanced Management Company (AMC) is a property management company, which was started in 1982 and built on a foundation of ethical business practices. Those same principles are in place today with more than 65 apartment communities in Sout ...

+ Oversee all store operations · + Manage and motivate team members for excellent customer service · + Maintain high standards for packing, print services, · and product offerings. · Enjoy working in a fast-paced environment with innovative products!Oversee store operations · ...

The Patient Advocate Representative follows-up on the status of submitted claims and invoices; prepares various medical appeals and submissions of such appeals to insurance carriers. · This position may interface with all departments within the company. The above listing represen ...

The Medical Collector follows-up on the status of submitted claims and invoices; requests medical records as needed; prepares various medical appeals and the submissions of such appeals to insurance carriers; · Collects money due from insurance companies, hospital and patients in ...

This role is vital to the company's success and involves maintaining a high standard of cleanliness to the exterior of the apartment community and its amenities. Creating and maintaining excellent curb appeal for the property is a key role for this position. · Walks the property ...

The Patient Access Coordinator is responsible for requesting authorization for all applicable incoming orders.This process includes understanding of payers' medical policies for our services, collecting and reviewing all the necessary documentation required to submit prior author ...

POSITION SUMMARY: · The Lead Retail Sales Associate supports the Retail Manager and staff in overseeing the day-to-day operations of the Girl Scouts of Orange County retail shop, including in-store sales, customer service, inventory control, and e-commerce fulfillment. This role ...

The Patient Access Coordinator is responsible for requesting authorization for all applicable incoming orders. · Reviews incoming orders to determine if authorization is required · ...

POSITION SUMMARY: · The Lead Retail Sales Associate supports the Retail Manager and staff in overseeing the day-to-day operations of the Girl Scouts of Orange County retail shop, including in-store sales, customer service, inventory control, and e-commerce fulfillment. This role ...

We are looking for Janitorial ServiceTechs to join our team to maintain trash areas for apartments and condominium communities by cleaning, hauling, and recycling. · Clean and sweep community trash rooms and trash enclosures · Compact and distribute trash to optimize the use of t ...

The Grants & Foundation Relations Manager is responsible for identifying securing and managing community corporate and family foundation grant funding to support the annual funding needs for Families Forward. This position plays a critical role in building strong foundation relat ...

· Full-time · Description · This position will perform collections and medical billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA, TPA Indemnity) and Patient Billing. Qualified candidates must be able to (1) Review accounts for ...

About AmeriPharma · AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who li ...

We are seeking a highly organized and detail-oriented Prior Authorization Coordinator to join our dynamic pharmacy team.This individual will play a key role in ensuring timely and accurate submission, follow-up, and approval of prior authorizations and appeals for medical and pre ...

This position will require an in-person interview. Join our team at Dr. Turek's Wellness Center We look forward to welcoming the ideal candidate to our team We are looking to hire a highly motivated, and detail-oriented Chiropractic Medical Billing and Insurance Collections Speci ...

About AmeriPharma · AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who li ...

We are seeking a dynamic and highly organized Dental Office Manager to lead our dental practice with energy and precision. · This pivotal role combines leadership, administrative expertise, and clinical understanding to ensure seamless daily operations. · The ideal candidate will ...