Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under
University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000
Company Overview #LI-Remote Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education,
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Work Shift:8 Hours - Day Shifts (United
Overview The Committee for Public Counsel Services, the Massachusetts public defender agency, is seeking a full-time Paralegal for its Mental Health Litigation Division Appeals Unit. This newly created position involves working closely with the Director of Mental
About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions
Job DetailsJob Location: Allied Benefit Systems - CHICAGO, IL 60606Position Type: Full TimeSalary Range: $20.00 - $20.00 HourlyJob Category: ClaimsPOSITION SUMMARYThe Appeal Coordinator is an intermediate level administration position that works with providers, members, clients, and various
Job DetailsJob Location: Allied Benefit Systems - CHICAGO, IL 60606Position Type: Full TimeSalary Range: $20.00 - $21.00 HourlyJob Category: Claims POSITION SUMMARY: The Appeals Specialist is responsible for monitoring and tracking the status of appeals as they relate
Benefits Comprehensive Health Coverage – Medical, dental, and vision plans to keep you and your family healthy. Future Security: 401(k) with matching Student Loan Support – Up to $10,000 repayment assistance, because we invest in your
Job Purpose The Licensed Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals. Working closely with nurses and other team members, the Licensed Appeal Writer creates appeal letters in support
Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. A&G works in
About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
When you join the growing BILH team, youre not just taking a job, you’re making a difference in people’s lives.Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a high-profile
POSITION SUMMARY: The RN Appeal Administrator will be responsible for the Pre-denial/ Denial and appeal process in addition to Utilization Review, to validate the patient’s placement to be at the most appropriate level of care based on nationally
POSITION SUMMARY: The RN Appeal Administrator will be responsible for the Pre-denial/ Denial and appeal process in addition to Utilization Review, to validate the patient’s placement to be at the most appropriate level of care based on nationally
The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically based appeals between Providence Health and Services, California Region (PH&S) outside payers. Activities will be patient-focused, uniform, compliant, and support steadfast
Manages specific patients throughout their admission to ensure the availability of sufficient clinical and medical center resources. Communicates on a daily basis with medical staff, medical center personnel and outside resources to ensure the appropriate utilization
Location:Work from home (Pennsylvania) Shift:Days (United States of America) Scheduled Weekly Hours:40 Worker Type:Regular Exemption Status:No Job Summary:Provides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with
Location:Work from home (Pennsylvania) Shift:Days (United States of America) Scheduled Weekly Hours:40 Worker Type:Regular Exemption Status:No Job Summary:Provides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with