Responsibilities
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement ...

LOCATION: Remote – t his is a home based, virtual position that operates within the hours of 8:30am-5:00pm EST. Candidate must reside in North Carolina or within 40 miles of the NC border. Mu...

About the Role:
This position requires a licensed registered nurse. The Clinical Appeals Specialist (CAS) is responsible for managing client medical denials by conducting a comprehensive analytic r...

Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a phys...

Overview
We are Hiring.
Location: 550 S. Jackson Street Louisville, KY 40202
Shift: Days

About Us
UofL Health is a fully integrated regional academic health system with seven hosp...

Responsibilities
TMC Bonham Hospital is a 25-bed critical access hospital that includes both primary care and specialty physicians. The Critical Access Hospital, offering both inpatient and outp...

Responsibilities
TMC Bonham Hospital is a 25-bed critical access hospital that includes both primary care and specialty physicians. The Critical Access Hospital, offering both inpatient and outp...

Overview
WE ARE HIRING!Location: 250 E Liberty Street Louisville, KY 40202
About UofL Health: UofL Health is a fully integrated regional academic health system with nine hospitals, four medical ...

Job Description
Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps.
Job Res...

Salary Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provid...

Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified appli...

Overview
We are Hiring.
Location: 250 E. Liberty Street Louisville, KY 40202
Shift: Part-Time Days

About Us
UofL Health is a fully integrated regional academic health system with s...

Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)
PLEASE NOTE: This position will work Monday - Friday, 8 a.m. to 5 p.m. PST, with rotating holidays.
Established ...

Job Responsibility Serves as liaison between the patient and facility/physician Appeals Specialist, Clinical, Appeals, Specialist, Remote, Healthcare.

Attends Fair Hearings in person with the Grievance and Appeals’ RN Specialist and presents arguments in defense of the appeals. Resolves grievances, appeals and external reviews for VNS Health Plans p...

What does a Senior Grievance and Appeals Specialist do?. As a Senior Grievance and Appeals Specialist at VillageCare, you will play a crucial role in ensuring that grievances and complaints are manage...

Grievance and Appeals Specialist, Clinical. Ability to work in a fast paced environment and effectively manage multiple grievances and appeals simultaneously. Manhattan, New York Grievance and Appeals...

Ensures clinical reviews and appeals are up to date and accurately reflect patient’s severity of illness and intensity of services provided. Prior experience in Case Management, Denials/Appeals and/or...

We are seeking a dynamic Expedited Appeals Specialist who will be responsible for processing expedited appeals: those that are complex in nature, require multiple hand-offs, and tend to have extremely...

We are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal grievances, complaints, appeals, and disputes submitted by members and providers in ac...