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In addition to writing appeals, the Clinical Appeals Specialist must be proficient in using web-based payor portals such as Allscripts and VitalWare to review documentation to write a compelling appeal.
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Serves as the patients advocate by providing information on patient rights, grievance procedures, reimbursement procedures, and patient/family responsibilities. Observes signs, symptoms and reactions to treatments, and informs the attending physician and/or Patient Care Coordinator (PCC) immediately of any changes.
$74,000 - $77,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Collaborates with the Legal Department on all aspects of the grievance process including mediation and arbitrations as needed. Manages grievance/dispute, store and facility teammate discipline and termination termination decisions.
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Dishwasher About Puttshack: Puttshack is an upscale, tech-infused mini golf experience that appeals to everyone. 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.
$15 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Performs quality reviews of Appeals cases closed through APS using Appeals Quality Standards and Attributes (AQSA). Interprets and applies AQSA using the Appeals Quality Measurement Standards Guideline.
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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. Manufacturing technicians working in Distribution or Plasma Sample Management positions may require a valid driver's license.
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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. Minimum of 10 years of cardiology clinical experience; or any combination of education and experience, which would provide an equivalent background.
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May be required to wear protective clothing such as lab coats, gloves, face shields, etc. From the Ability Network, our Asian American & Pacific Islander Resource Group, the Latino Resource Group, and Red Cross PRIDE, to the Umoja African American Resource Group, our Veterans Resource Group, and the Women's Resource Group, these networks provide connections, mentoring and help give voice to important concerns and opinions.
$15 - $15.5 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Puttshack is an upscale, tech-infused mini golf experience that appeals to everyone. Own the Fun - We revel in our guests’ enjoyment. Puttshack is an upscale, tech-infused mini golf experience that appeals to everyone.
$25 - $35 an hourFull-time/part-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Assisting clients with pursuing property tax appeals, as well as property tax compliance projects. 3+ years of current or recent experience in public accounting, law firm or corporate tax department, or working in State economic development.
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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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Assist in preparation and maintenance of benefit information and statistics, and conduct research and provide information in support of benefit claims and appeals, as directed. Obtain or provide information about the necessary papers and proof of claims, as required under the Company's benefit plans, and direct callers to resources for claims and appeals as appropriate.
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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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The attorneys also effectively maneuver through all stages of litigation, developing pre-litigation strategies, directing discovery, taking a case to trial and persuasively writing and arguing appeals.
$70,000 a yearExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Experience with all phases of litigation including drafting and arguing motions, pleadings, discoveries, depositions, trial appearances, settlements and appeals. A well-established, successful corporate law firm near Syracuse, NY currently has a position available for a Commercial Litigation Attorney.
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grievance appeals jobs in St Louis, MO
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