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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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Prepare reports on post-discharge denials management activity including overturn success rate of appeals for corporate compliance. Actively involved in CDMP and work closely with Coding Managers on DRG appeals.
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Effectively communicate medical necessity of services, utilizing the American Society of Addiction Medicine (ASAM) guidelines for careComplete appeals process with third-party payers as needed.
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Reviews and analyzes Revenue Agent, 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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Puttshack is an upscale, tech-infused mini golf experience that appeals to everyone. Specific experience in bar inventory management with in-depth wine, beer and cocktail knowledge P&L experience Experience with Food and Beverage management platforms Comfortable using a variety of software platforms for scheduling, ordering, inventory, and venue management.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Appeals and Denials Coding Specialist Profee (Physician-based). Appeals and Denials Coding Specialist Profee (Physician-based). Within RCM Dept REQUIREMENTS: BENEFITS: Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there.
$35 - $50RemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Performs in a leadership role in setting and achieving fundraising goals that support the mission of BGH through annual appeals, capital campaigns, grant writing, planned giving, special events, public relations, and other creative and effective methods.
$80,000 - $95,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
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Processing of prior authorization responses via CoverMyMeds and submitting appeals if requested by patient/prescriber. Processing of prior authorization responses via CoverMyMeds and submitting appeals if requested by patient/prescriber.
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The Line Cook position is responsible for preparing, producing, plating and garnishing all menu items. An innovative, globally-inspired dining experience takes our guests on a culinary journey of flavor equally matched by a complete bar to create a mixologist-obsessed beverage line-up made from the finest ingredients.
$17 - $20 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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This position will also support detailed level reporting and analytics, clinical appeals, root cause analysis, and address identified trends in reasons for denials related to coding and/or OASIS related documentation.
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This position will work on personal injury litigation cases, from the initiation of a case to the discovery period through trial and post-trial findings and appeals. The firm is looking for an experienced Litigation Paralegal to contribute to their growing success.
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Extensive experience in working with Payer requirements, ADR requests, Denials, Appeals, RAC/ZPIC responses. Reviews documentation for appeals processes across the Home Health enterprise for all payor types striving to improve clinical documentation and minimize lost revenue.
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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. The Red Cross offers paid phlebotomy training with the ability to grow your healthcare skills and career within the nation's top humanitarian organization.
$17Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Experience with national guidelines such as MCG or InterQualInternal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialistsAdvanced degree such as an MBA, MHA, MPHExposure to Public Health, Population Health, analytics, and use of business metrics.
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appeals job in Louisville, KY
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