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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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The city is home to both a U.S. Court of Appeals, one of 13 such courts, and a Federal Reserve Bank, one of 12 such banks. Dominion Energy and WestRock, Fortune 500 companies, are headquartered in the city, with others in the metropolitan area.
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Maintain licensure through completion of yearly Continuing Legal Education (CLE) requirements of the District of Columbia, to include the Court of Appeals for Veterans Claims and the U.S. Federal Circuit Court.
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Draft legislation and legislative appeals. Your work will impact policy and decision-making for the I&S Executive Director and four Directors for Defense Intelligence: The Director for Defense Intelligence (Sensitive Activities & Special Programs) (DDI SA&SP), Director for Defense Intelligence (Operational Support & International Partnerships) (DDI OSIP), Director for Defense Intelligence (Counterintelligence, Law Enforcement & Security) (DDI CL&S), and Director for Defense (Programs, Resources, and Enterprise Management) (DDI PREM.
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Minimum Requirements Requires a HS diploma or equivalent and a minimum of 1 year of Grievance & Appeals analyst experience. Title: Grievance/Appeals Analyst II. Grievance/Appeals Analyst II.
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Monitor unemployment claims and handle any appeals. The Director of Human Resources (HR) provides leadership and guidance to the organization's HR operations. Imprint (501c3 charitable arm of Cobb) focusing on the wellbeing of youth (a division of Cobb.
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Familiarity with Tax and Appeals within the UI domain is highly desirable. The ideal candidate will have extensive knowledge of the UI system and several types for UI Frauds, fraud remediation processes, and relevant regulations, including a deep understanding of the UI programs, Special Programs, Adjudication, payment, charging, adjustment and overpayment, key interfaces related to Fraud detection in UI systems, federal reports, and fraud data analytics of the UI system.
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Utilizes medical necessity criteria as a tool to assess appropriateness of level and setting of care, assists in the denial and appeals process, assesses quality, and identifies and reports potential risk management issues.
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Knowledge of claims, credentialing, appeals & grievances a plus. Certified Professional Healthcare Quality (CPHQ), or Certified Fraud Examiner, or CPQH Certification, or Patient Centered Medical Home (PCMH) certification, or Medical Records Coding, or Clinical Licensure.
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Utilization review, prior authorization, concurrent review, appeals experience preferred. Utilization review, prior authorization, concurrent review, appeals experience preferred. One of the following licenses for Virginia is required: LPC, LCSW, LMFT, LBA.
$129,600 a yearFull-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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Responsible for the quality of utilization review determinations, including appeals. Assists with provider standards and expedited appeals. May function as Medical Director for select health plans or regions, assuming overall accountability for utilization management while working in conjunction with the SVP, CCO and/or CMO.
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Grievance and Appeals experience. Become a part of our caring community and help us put health first. Grievance and Appeals experience. Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company.
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Technical knowledge and experience with revenue cycle, reimbursement billing, coding, and appeals process. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
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Submit requests through eBilling vending sites for accruals, appeals, budgets and status reports. BillBlast, eBillingHub and Aderant/CMS experience preferred. Ensure timely and regular communication for issues regarding eBilling rejections to the appropriate internal team member and, if necessary, to the impacted attorney and legal practice assistant.
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The Senior Counsel will be located in Richmond, VA and represent AEP’s operating companies (such as Appalachian Power in Virginia) in administrative litigation and related appeals to civil courts, including regulatory proceedings before state public utility commissions that have jurisdiction over AEP’s electric utility rates and operations.
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appeals job in Richmond, VA
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