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5 years of revenue cycle management experience including appeals, payer contracts, and charge master knowledge. Thorough understanding of accounts receivable, collections, billing, appeals and denials.
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Oversee college student affairs involving, but not limited to, the Dean’s List, probation and suspension, student appeals, student complaints, and admissions/readmissions. Serve as a member of the Dallas Academic Administration Group (AAG) to coordinate and enhance services provided for college faculty and students.
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This candidate will trend denials for root cause analysis reporting, follow and create value added processes related to denials management, account reviews, and appeals management, and insurance follow up to maximize revenue recovery and denial prevention.
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As the FRM North Texas your duties will include but is not limited to Prior Authorization assistance, Claims Assistance, and Appeals and educating the office on Payer landscape. The Field Reimbursement Manager (FRM) - North Texas is responsible for managing an assigned territory - northern half of Texas.
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Requires experience as a lead prosecutor for all levels of misdemeanor offenses, or experience providing legal services in conjunction with civil litigation, or appellate work on direct appeals.
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Provide case management for patent litigation in federal district courts, appeals before the Federal Circuit Court of Appeals, and actions before the U.S. International Trade Commission, USPTO, and Patent Trial and Appeal Board.
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One of the positions will support Stacy Serad , working across Commercial Provider, UM Intake, Claims, Enrollment and Billing, and Grievance and Appeals. One of the positions will support Hollie McKitrick , working across all CXO supported lines of business (Commercial, Government, Member, Provider, Claims, Enrollment and Billing, and Grievance and Appeals.
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Parkland Community Health Plan's (PCHP's) Health Services Associate is responsible for supporting the Health Services Department by providing support for case management, clinical appeals, discharge planning, disease management, population health, behavioral health, and utilization review processes.
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Payer Formularies and restrictive Utilization Management Criteria including: Prior Authorization Processes, Step Edits, Appeals, detailed Clinical Documentation, Peer to Peer reviews etc. The Field Reimbursement Manager is a critical front-line member of the Regeneron Commercial and Field Reimbursement Management team.
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Acts as a brand representative reflective of the company values; partners with the Display Artist and Department Managers on the creation of an engaging visual experience that appeals to the UO customer.
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Minimum of one year drafting and submitting reconsiderations and appeals to Medicare experience. We are currently seeking a Utilization Management Nurse in Dallas, Texas. Preferably a minimum of two-year InterQual or Milliman experience in an acute care setting.
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Manage federal, state and local income and franchise tax audits, appeals and litigation for the U.S. group. This position will reside at the corporate office in Irving, Texas and will be reporting to the Head of U.S. Tax. The Research & Planning Tax Director will organize and supervise the tax planning, controversy and research functions of the U.S. Tax group.
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Assist team with all federal, state and local income and franchise tax audits, appeals and litigation for the U.S. group. This position will reside at the corporate office in Irving, Texas and will be reporting to the Head of U.S. Tax. The Tax Director will be assisting and handling the U.S. federal and state tax compliance and financial statement reporting for Heidelberg Materials North America.
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Prepare required appeals relating to past timely filing, medical necessity, and other denials. Medical Collection Specialists support the general activities and claims adjudication of the Medical Collection department with denial management and appeals for designated rejections.
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Utilizes Optum systems to resolve customer needs such as appointments, authorizations, claims, invoices, eligibility, benefits, appeals, TARs. Bilingual fluency in English and any of the following languages: Spanish, Russian, Mandarin, Cantonese, Korean or other.
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appeals job in Irving, TX
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