SUMMARY:
The Clinical Validation Appeals Specialist is responsible for: appealing clinical validation denials to enhance revenue cycle management; tracking denial trends, identifying continuous imp...

Evaluate telephone, fax, or web requests for authorization of coverage of molecular and genetic laboratory requests from physician offices; comparing requests against established clinical protocols; a...

Evaluate telephone, fax, or web requests for authorization of coverage of molecular and genetic laboratory requests from physician offices; comparing requests against established clinical protocols; a...

In this role, the successful candidate under the general supervision of the Director and team Senior Specialists, the Clinical Denials and Appeals Specialist performs advanced level work related to Cl...

In this role, the successful candidate under the general supervision of the Director and team Senior Specialists, the Clinical Denials and Appeals Specialist performs advanced level work related to Cl...

At First Student, we are a family of 60,000+ employees who take pride in safely transporting more than 5 million students and passengers to and from their destinations each day! Our family of brands i...

Outlier helps the world’s most innovative companies improve their AI models by providing human feedback.Are you an experienced physics who would like to lend your expertise to train AI models? About t...

Outlier helps the world’s most innovative companies improve their AI models by providing human feedback.Are you an experienced physics who would like to lend your expertise to train AI models? About t...

At First Student, we are a family of 60,000+ employees who take pride in safely transporting more than 5 million students and passengers to and from their destinations each day! Our family of brands i...

Outlier helps the world’s most innovative companies improve their AI models by providing human feedback.Are you an experienced physics who would like to lend your expertise to train AI models? About t...

At First Student, we are a family of 60,000+ employees who take pride in safely transporting more than 5 million students and passengers to and from their destinations each day! Our family of brands i...

Outlier helps the world’s most innovative companies improve their AI models by providing human feedback.Are you an experienced physics who would like to lend your expertise to train AI models? About t...

At First Student, we are a family of 60,000+ employees who take pride in safely transporting more than 5 million students and passengers to and from their destinations each day! Our family of brands i...

The Renal and Pancreas Transplant Division at Cooperman Barnabas Medical Center (CBMC) is seeking a transplant nephrologist to join its team.CBMC, formerly known as Saint Barnabas Medical Center, is a...

The Renal and Pancreas Transplant Division at Cooperman Barnabas Medical Center (CBMC) is seeking a transplant nephrologist to join its team.CBMC, formerly known as Saint Barnabas Medical Center, is a...

The Chairperson of Anesthesiology will provide clinical and administrative leadership to members of the department. To maintain a clinical skillset and strong credibility within the department, t. Str...

The Chairperson of Anesthesiology will provide clinical and administrative leadership to members of the department. To maintain a clinical skillset and strong credibility within the department, t. Str...

Play a key role in the Northwell Spine Center, which includes clinical, academic and research components. As a result, our diversity and inclusion efforts are a part of everything we do, from educatio...

Play a key role in the Northwell Spine Center, which includes clinical, academic and research components. As a result, our diversity and inclusion efforts are a part of everything we do, from educatio...

At Northwell Health, we are committed to the highest quality of clinical care, dedicated to improving lives through research, and strive for excellence at all times. In addition to renowned clinical f...

In addition to renowned clinical facilities, Northwell faculty members enjoy access to the academic and research resources of the Feinstein Institute for Medical Research and Cold Spring Harbor Labora...

At Disney, we are storytellers.We make the impossible, possible.The Walt Disney Company is a world-class entertainment and technological leader.Walt’s passion was to continuously envision new ways to ...

Grievance and Appeals Specialist, Clinical. Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necess...

Grievance and Appeals Specialist, Clinical. Manhattan, New York Grievance and Appeals. Develops correspondence communicating the outcome of grievances and appeals to enrollees and/or providers.

Ensures clinical reviews and appeals are up to date and accurately reflect patient’s severity of illness and intensity of services provided. Performs concurrent and retrospective utilization managemen...

Ensures clinical reviews and appeals are up to date and accurately reflect patient’s severity of illness and intensity of services provided. Performs concurrent and retrospective utilization managemen...