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Assists with employee counseling, discipline and grievance handling. Conducts employee focus group sessions, employees’ surveys, and interviews to obtain employee feedback. Job Summary This role is M-Th in office/field and Fridays remote Responsible for partnering with the Technical Operations and Construction organizations across our Connecticut, Vermont, and Western Massachusetts footprint.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Follow up on unpaid claims and manage denials or appeals process with outsourced billing vendor. The Medical Billing Coordinator will need to be an independent worker, detail-oriented, and have a sense of urgency.
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An Outpatient Nursing position will interest you, if running a Medication Clinic and acting as a case manager appeals to you! An Outpatient Nurse will have a Monday through Friday schedule with a rotating weekend schedule (if needed.
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Legal research and drafting of client correspondence, discovery devices, summations, appeals and appellate briefs. Leading law firm is seeking a Workers Compensation Attorney with 2-7 years of experience.
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You can make a difference by volunteering in a position that appeals to you and allows you to use your unique skills and talents. As one of the nations premier humanitarian organizations, the American Red Cross is dedicated to helping people in need throughout the United States and, in association with other Red Cross networks, throughout the world.
Work from homeExpandUpdated 6 days ago - UpvoteDownvoteShare Job
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At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding specific clinical charges and denial management and appeals process in a collaborative environment with revenue cycle management and clinical partners at various Houston Methodist facilities.
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Knowledge of all payors insurance; self-pay after insurance, reimbursements, collections, appeals, claims follow-up and third party billing, required. Manage claim details and verify accurate reimbursement, so as to initiate account adjustments and/or appeals on payment disputes.
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Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. May also engage in grievance and appeals reviews.
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We are looking for the specialties listed below with active Connecticut licenses to address the medical necessity of pharmacy requests and, in appeals, the medical necessity of previously denied services.
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The person in this position will coordinate payor denials and audit Follow-up Representative activities to ensure timely response for the processing of all payor denials, audit requests and appeals.
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Manage investigations and employee relations casework, including dispute resolution, disciplinary, grievances, short and long-term sickness, appeals, restructuring/Client-offs, absence management, and performance management.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Reviews and analyzes Revenue Agent (Examiner), Appeals Officer, and Counsel Attorney instructions, reports, case files, and support statements and interprets tax law court decisions and legal opinions to determine and prepare accurate computations for the most demanding and complex Appeals cases.
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If a member of the Appellate Unit, defends appeals brought by convicted defendants before the Appellate Court and Supreme Court; Any student of an accredited law school who is within five months of graduation from such law school and who is a certified legal intern pursuant to the rules of the Superior Court is eligible to be appointed as an Apprentice Prosecutor by the Criminal Justice Commission and shall advance to the position of Deputy Assistant State's Attorney upon gaining admission to the Connecticut bar within one year of the date of graduation from such law school.
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Preferred qualifications include 1+ years of experience in insurance collections, familiarity with denied claims and appeals processes, and basic knowledge of Worker's Comp and PIP. Initiate appeals when necessary and ensure accuracy in requesting information and providing supporting documentation.
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Minimum 1 year of professional billing, claim denials, appeals, or revenue cycle work. Certification: Certified Professional Coder (CPC) - AAPC, Certified Coding Specialist (CCS) - AHIMA, or Certified Coding Associate (CCA) - AHIMA.
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grievance appeals jobs in Middletown, CT
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