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The range of cases that attorneys work on from the Deinard Legal Clinic includes family law matters, housing issues, immigration matters (adjustment of status, naturalization, U visa, asylum), supplemental security income (SSI) administrative appeals, consumer/identity theft issues, and criminal expungements.
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The care management system provides critical, core health plan functionality including utilization management, transportation authorization, care management, population health, appeals and grievances, analytics and reporting.
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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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Develop and manage deliverables such as reimbursement dossiers, prior authorization and appeals management tools/resources, reimbursement landscape analyses, and hospital specific margin analyses.
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Including, but not limited to: Payment integrity - PDE/Encounter Data, FIR's, NX Transactions, and Coordination of Benefits., coverage decisions and appeals, claims, benefits, formulary/PDL, networks and materials.
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Interact with underwriting department on contract issues and Ceding Companies and/or Brokers claim appeals. Position Overview"Remote Option Available" The Sr. Group Claims Examiner, analyzes high dollar claims and determines eligibility of Group Reinsurance claims.
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Collaborates and coordinates with other experts, revenue agents, counsel attorneys, appeals officers, and/or specialists throughout IRS to leverage and expand expertise and ensure consistent application and interpretation of tax laws within those areas.
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If working for a community that encourages collaboration, creativity, and responsive public service is something that appeals to you - continue reading about this great opportunity. Oakdale is searching for its next leader in its Public Works Department - responsible for parks and open spaces, streets and utilities, forestry and stormwater - to be part of our management team.
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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. May be required to wear protective clothing such as lab coats, gloves, face shields, etc.
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20%) and in a fast-paced, non-profit, Federally Qualified Health Center (FQHC) in the Phillips neighborhood of Minneapolis (est. The law clerk will work under the supervision of Stinson’s Pro Bono Attorney, Tim Sanders Szabo, a licensed attorney, on the initial client intake and screenings, and will interface with CUHCC staff on client matters and case support.
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Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes) Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.
$99,000 - $170,200 a yearFull-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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The Criminal Defense Attorney will play a vital role in representing clients in all stages of felony and misdemeanor litigation, including appeals, hearings, and negotiations. Juris Doctor (JD) degree from an accredited law school.
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Serve on various committees and task forces as requested (i.e. Threat Assessment Team, Emergency Response Team, Student Care and Conduct Team, Safety Committee, Title IX core team, and Traffic Citation Appeals Committee.
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The Hennepin County Attorney's Office is seeking to fill experienced Attorney positions in the Appeals unit within the Criminal Division. Represent the State in all manner of criminal appellate work in Minnesota’s state appellate courts (i.e., direct appeals, sentencing-and-probation-revocation appeals, state’s appeals, extraordinary writs, petitions for review.
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Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process. Admin - Appeals. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
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appeals job in St Paul, MN
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