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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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Review Level of Care for iCare members including follow-up consultation with Grievance and Appeals or Enrollment/Eligibility/Fiscal staff. Review Level of Care for iCare members including follow-up consultation with Grievance and Appeals or Enrollment/Eligibility/Fiscal staff.
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Humana/iCare is seeking a Long Term Care Functional Screener to join the growing team in the Family Care Partnership (FCP) program. The Screener is responsible for screening members within the iCare Family Care Partnership service areas, as well as participate in all iCare and WI State LTCFS required compliance and quality assurance activities.
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Acts as a designated representative for veterans and their dependents and survivors in appeals procedures before the United States Department of Veterans Affairs and the Wisconsin Department of Veterans Affairs.
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Support the stewarding of donors through the mailing of donor engagement materials, including support of the year end mailing, newsletters and appeals. We serve over 60,000 patients annually in 22 health centers statewide, making us the largest and most trusted reproductive health care provider in Wisconsin.
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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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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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You can make a difference by volunteering in a position that appeals to you and allows you to use your unique skills and talents. As a Quality Control Supervisor, you will be responsible for overseeing the daily operations in the QC lab/Blood Center.
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Acts as a brand representative reflective of the company values; partners with the leadership team on the creation of an engaging visual experience that appeals to the FP customer. The Store Manager will lead and drive sales by taking an Omni channel approach to the retail experience.
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If working in a fast-paced environment appeals to you, contact our office or apply online today! This company is a large format graphics production lab that delivers photographic-quality printing, propping, visual displays, fixtures and sourcing to iconic fashion retailers.
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Responsibilities include policy formulation and recommendation; analysis development, interpretation, and administration of legislation; review and modification of procedures to improve effectiveness and efficiency of operation; hear and respond to permittees on all excise permit appeals; all management functions at the bureau level (personnel actions, budgeting, and maintaining information reporting systems) in accordance with division and department policy.
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We provide quality furniture at warehouse pricing that appeals to 80% of the office furniture buyers. We are looking for a systems and case good installation foreman to join our growing office furniture business.
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Starting pay is $23/hour (time and half overtime), up to $28/hour based on experience and skill set! If you like independence, take pride in your work and want to be a key player in a fast-growing company, we look forward to meeting you.
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Specific responsibilities include the management of records and hands-on, detailed casework associated with the Provost's decision-making role in employee and student (where applicable) appeals of Office of Compliance findings, Academic Staff Appeals Committee (ASAC) appeals and grievance recommendations, Hostile and Intimidating Behavior (HIB) appeals of findings, all Faculty Policies and Procedures Chapter 8 and 9 matters, and research misconduct matters that come before the Provost.
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Submit detailed, customized appeals to payers based on review of medical records and in accordance with Medicare, Medicaid, and third-party guidelines as well as UW Health policies and procedures.
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appeals job in Madison, WI
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