. The Appeals Representative Associate is responsible for providing expertise or general support to teams in reviewing..., researching, investigating, negotiating and resolving all types of appeals and grievances. This position is full-time (40 hours...
. The Appeals Representative Associate is responsible for providing expertise or general support to teams in reviewing..., researching, investigating, negotiating and resolving all types of appeals and grievances. This position is full-time (40 hours...
is required Research and resolve written complaints submitted by member or authorized representative Render decision for non - clinical... standards Review Member Appeals based on internal procedures following Department of Labor Guidelines Request medical records...
- Friday. Primary Responsibilities: Research and resolve written appeals submitted by members and providers. Ensure appeal... by clinician is required. Render decision for administrative appeals using sound, fact-based decision making. Complete necessary...
oriented, while holding accountability to all actions. Appeals would be assigned to them all day and pivot if needed. Work.... Primary Responsibilities: Research and resolve written appeals submitted by consumers and physicians/providers Ensure...
’s “Best Places to Work 2021”, we are seeking an independent and extremely detail oriented Follow Up Representative. The position... Resolve denials and submit appeals Utilizes the most efficient resources to secure timely payment of open claims Research...
, collections, denials, and appeals. Serve as a liaison between specialty services and other departments, fostering collaboration... party payors specific to specialty services, including underpayments, appeals, and contractual discrepancies. Stays current...
matters, keeping leadership informed as appropriate Investigate, document, prepare written responses, and manage appeals... demands described are representative of those required to perform the essential functions of this role. Duties include sitting...
Operations to lead Match Group's Core Operations Social Support and Cross-Brand Appeals functions. This role oversees a team... for users and a growth mindset. $136,000 - $150,000 a year The compensation range listed above is representative of the...