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In addition to direct representation, IRP engages in advocacy at the local and national levels, recruits, trains, and mentors hundreds of pro bono attorneys each year, handles appeals before the Board of Immigration Appeals, Ninth Circuit Court of Appeals, and California Court of Appeal, and conducts impact litigation.
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Department(s): Grievance & Appeals Resolution Services (GARS)Reports to: Manager, Grievance & AppealsSalary: $24.52 - $31.04 Duration: up to 6 months Job Summary The Grievance Resolution Specialist coordinates the Grievance and Appeal resolution process, responds to verbal and written Grievances and Appeals from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, and pharmacy and vision decisions.
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As an Indirect Tax Manager, you will efficiently manage Indirect Tax compliance, tax research, audits and appeals utilizing enhanced technology and process improvements and will perform other Indirect Tax function duties as assigned by the Indirect Tax Leader.
$92,318 - $155,318 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Representation: Represent the company in hearings, trials, mediations, lien settlements, and before the Workers' Compensation Appeals Board (WCAB). As an In-House Workers' Compensation Attorney, you will be responsible for managing litigation, settlement negotiations, and compliance with California workers' compensation laws.
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Job Summary:A Tax Manager, Business Incentives Group (BIG) in BDO’s Specialized Tax Services (STS) business is responsible for helping clients identify, document, and support tax positions related to this specialty’s area of tax law upon examination and at appeals.
$76,000 - $160,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Claims Appeals Representative *Remote. 3 years Billing collections, or denials management experience and medical terminology. 3 years Familiarity with managed care contracting, provider operations and/or payer operations.
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Meets performance measurement goals for Grievance and Appeals Resolution Services. Evaluates case details, proposes recommendations, or makes decisions as applicable; ensures organization decision is implemented according to the Grievance and Appeals policies and case resolution.
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Responsibilities: Provide legal advice and guidance to clients on various legal matters related to employment law, civil defense litigation, labor and employment law, immigration, and OSHA. Represent clients in court proceedings, including hearings, trials, and appeals.
$160,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Grievance and Appeals. the Administrative Fellow (Fellow) will work with key administrative personnel to gain knowledge and experience in the management of CalOptima Health, as well as the broader health care landscape.
$65,000 - $106,106 a yearFull-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Assist in management and delivery of client IRS, audit, Appeals, collection and penalty abatement projects, including review and analysis of client data, and preparation of required supporting documents and IRS filings.
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Responsibilities: Use Litigation Protocols to develop and revise appropriate legal strategy for discovery, investigation, handling and trial/hearing of cases or matters Responsible for appearances before the DWC, conducting depositions, drafting and filing summations, appeals and rebuttals.
$78,000 - $127,200 a yearFull-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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The highly experienced attorneys advise and counsel in complex business and litigation matters, handling litigation in state and federal courts, and briefing and arguing appeals in courts, including the California Supreme Court and the Ninth Circuit Federal Court of Appeals.
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Follow up on outstanding claims, denials, and appeals to maximize reimbursement for mental health services. Certification in medical billing and coding preferred. Strong understanding of ICD-10 and CPT coding principles, with the ability to accurately assign codes for mental health diagnoses and treatments.
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Grievance and Appeals experience. Conducts investigations and reviews of member and provider grievances and appeals. Responsible for serving as a team lead and for investigating and processing the most complex grievances and appeals requests from members and providers and provide leadership and work direction to other appeals staff.
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All applicants must be a member in good standing with the State Bar of Georgia or be in good standing of another state’s bar association that is eligible for reciprocity admittance to the State Bar of Georgia; and be admitted to practice before the Georgia Supreme Court and Court of Appeals.
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appeals job in Irvine, CA
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