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InnovaCare Management Services Company, LLCInnovaCare Health is a dynamic physician-led healthcare organization innovating change in value-based healthcare. Administers clinic and InnovaCare Health policies and procedures in a consistent and timely manner.
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InnovaCare Health is a dynamic physician-led healthcare organization innovating change in value-based healthcare. If you are looking for a career in healthcare where you can truly make a difference, then InnovaCare Health is the right place for you.
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TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing all insurance denials and prepare relevant reports regarding trends in denials.
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What we're looking for Unrestricted RN license or Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Medical Auditor (CPMA) preferred 5+ years clinical experience or 5+ years medical record coding experience preferred Working knowledge of the appeals and hearings process, with emphasis on excellent written communication skills including ability to write clear, concise, accurate, and fact-based rationales in support of appeal determinations.
$80,000 a yearWork from homeExpandUpdated 25 days ago - UpvoteDownvoteShare Job
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Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
$116,800 a yearFull-timeExpandUpdated 26 days ago - UpvoteDownvoteShare Job
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The Criminal Appeals Bureau (CAB) of The Legal Aid Society provides legal representation for people who have been convicted of a crime and cannot afford to pay an attorney. Supervising attorneys will also participate in managing the varied needs of the Criminal Appeals Bureau, including oversight of particular projects, providing advice on unit-wide policies, and maintaining an inclusive office culture that centers equity.
$141,730 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Integrate federal and state law changes into company’s regulatory system related to grievance and appeals. Work with various external constituencies, i.e., state, local and federal governments, local community and the public related to grievance and appeals.
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Strategic Staffing Solutions is currently looking for a Grievance and Appeals Coordinator for a contract opportunity with one of our largest clients located in Detroit, MI! An understanding of MA servicing structure related to grievance and appeals or experience in claims with the ability to apply EOC research in prepping cases preferred.
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MISSION STATEMENT AND GENERAL INFORMATIONThe Massachusetts Appeals Court is committed to doing justice under the law by rendering thoughtful, well-reasoned appellate decisions in a timely and efficient manner, treating all those who come before the court fairly and impartially.
$77,073 a yearFull-timeExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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At Family Care Partners of Northeast Florida, an InnovaCare Health company, we provide compassionate personalized care to patients of all ages. InnovaCare Health is a dynamic physician led healthcare provider pioneering change in value-based healthcare.
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Supervise the functions of Grievance and Appeals (A&G) analysts and administrative support staff. Supporting Responsibilities:Provide backup for grievance and appeals staff as needed. Experience in Grievance and Appeals processes preferred.
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The Appeals Specialist works collaboratively with the staff and management involved in key areas of the revenue cycle, Case Management and Health Information Management. The Appeals Specialist also provides follow up on aging clinical accounts on the DNFB and the AR Report.
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Job Duties: This position involves highly responsible confidential legal work for the Hon. Judge Amy Fellows Cline of the Kansas Court of Appeals. Location of Employment: Kansas Court of Appeals, Kansas Judicial Center.
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Managed care payor experience a plus either in Utilization Review, Case Management or Appeals. Appeals writing experience required. Certified Case Manager (CCM) or Certified Professional in Utilization Review/Utilization Management/Healthcare Management (CPUR , CPUM, or CPHM) preferred.
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Maintain licensure through completion of yearly Continuing Legal Education (CLE) requirements of the District of Columbia, to include the Court of Appeals for Veterans Claims and the U.S. Federal Circuit Court.
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Title: appeals Company: Innovacare
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