JOB DESCRIPTION
Job Summary
Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accorda...

Your career starts now. We are looking for the next generation of healthcare leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communiti...

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 physici...

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

Wage Range: $43.26 - $69.22 per hour
Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest l...

Overview
Denials & Appeals Specialist- Join our Fast-Paced, Problem-Solving Team!
We are seeking a Denials & Appeals Specialist to join our central billing office team located in Dallas.In this...

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Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health ...

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Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health pl...

Job Details
Job Location: TCI Idaho Falls - Idaho Falls, ID Position Type: Full Time Education Level: High School Salary Range: Undisclosed Travel Percentage: None Job Shift: ...

Company Description
At Discovery Behavioral Health, we know the best way to predict the future of healthcare is to create it. As a member of our growing team, you will have a voice in the creation...

Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to prov...

Job Summary: In addition to the responsibilities listed below, this position also coordinates and monitors the resolution of grievances and appeals cases by investigating, communicating with members...

Salary Range: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provid...

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...

Description
Soleo Health is seeking an Medical Claims Follow-Up and Appeals Writing Specialist (Collection Specialist) to work Remotely (USA). Join us in Simplifying Complex Care!
Soleo Health P...

If decision is overturned, the Dispute Specialist will reach out to claims to facilitate the effectuation of the decision. For Grievances and Appeals: Perform administrative functions to close out Gri...

Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job Details The Appeals and Authorization representative will perform activities to r...

For Grievances and Appeals: Perform administrative functions to close out Grievance and Appeal files; rout claims for adjustment; ensure validating adjustment was made correctly in accordance with the...

Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job Details The Appeals and Authorization representative will perform activities to r...

Grievance and Appeals Specialist, Clinical. Manhattan, New York Grievance and Appeals. Investigates and coordinates the resolution of routine and complex grievances and appeals according to defined pr...

Grievance and Appeals Specialist, Clinical. Enters data and assists with compiling reports and analysis on the grievance and appeals process. Ability to work in a fast paced environment and effectivel...

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...

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 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...

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...