Senior Appeals

Description As the Senior Appeals and Grievances Analyst, you will be responsible for: Assisting with all operational aspects of appeals and grievances, in accordance with state and federal regulations. Assisting the unit Supervisor in overseeing the appeals and grievances process, ensuring that members and providers receive fair and accurate resolutions to...

Your Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Appeals and Grievances RN Senior will report to the  Manager of the Appeals and Grievances team. In this role you will perform accurate and timely clinical review of...

The Board of Education of the City of Chicago, also known as Chicago Public Schools (CPS), has set ambitious goals to ensure that every child, in every community, has access to a high quality education that prepares him or her for success in college and career. CPS is seeking a Senior Assistant General Counsel to represent CPS and its agents in the Seventh...

Responsible for managing day-to-day operations of the Member Advocacy and Appeals Department including the investigation and resolution of cases, compliance with required processes, tracking, reporting, notifications to members and providers of case decisions and determinations, and appropriate case closure for all HMSA lines of business. Interacts with...

Description:JOB PURPOSE:Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current knowledge base of medical coding,...

Description:JOB PURPOSE:Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current knowledge base of medical coding,...

Description:JOB PURPOSE:Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current knowledge base of medical coding,...

Job Category: Revenue CycleWork Shift/Schedule: 8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary Ensures correct identification and root cause of payer denials. Initiate comprehensive appeal process to include contacting insurance companies to...

Our client, a Global Petrochemical & Plastics Company, has an excellent opportunity in its world-class ethane cracker and polymers facility for a Senior Instrumentation Reliability Engineer.This brand new, state of the art facility is among the largest of its kind in the US and is one of the most extensively instrumented facilities in the world. The site...

Job Summary:We are seeking a highly skilled and experienced Senior Fundraising Director to join our team at ZipRecruiter. In this role, you will be responsible for planning, developing, and administering multiple fundraising and associated activities for our large program or several social service programs in a region.Salary Range: $85,000 - $110,000 per...

Job OverviewWe are seeking an experienced Senior Insurance Defense Attorney to join our team. As a key member of our litigation department, you will be responsible for handling complex insurance defense cases.Key ResponsibilitiesRepresent clients in civil litigation matters, including trials and appeals.Develop and implement effective defense strategies to...

Housing for Health (HFH) is a program office within Community Programs, a division under Los Angeles County Health Services (DHS). HFH was created in support of the Los Angeles County Homeless Initiative recommendations in response to and in support of the County’s effort to address and combat homelessness in the communities residing within the boundaries...

Company Overview: All Seniors Foundation is a non-profit organization dedicated to improving the quality of life for seniors through essential support, care, and medical services. Our mission is to create a better world for older people by ensuring they access high-quality care and resources.Salary Range: $80,000 - $110,000 per yearJob Description: We seek a...

About the job Senior 2D Artist You will play a key role in bringing our game worlds to life by creating stunning and visually appealing characters, illustrations and concepts. An essential aspect of the role involves collaborating with cross-functional teams, including 3D artists, animators and VFX artists. The goal is to provide a comprehensive visual...

About Our ClientCameron Craig Group is a well-established midsize law firm with offices across California, recognized for handling high-profile and complex litigation matters. With decades of experience, they serve both public entities and private sector clients, specializing in constitutional law, civil rights, wildfire litigation, and eminent domain. Their...

OVERVIEW OF THE COMPANY Fox Corporation Under the FOX banner, we produce and distribute content through some of the world’s leading and most valued brands, including: FOX News Media, FOX Sports, FOX Entertainment, FOX Television Stations and Tubi Media Group. We empower a diverse range of creators to imagine and develop culturally significant content,...

About Us AtVast.ai , we value creativity, energy, drive and teamwork. We are looking for talented people who share these values to join as we grow our team. Our vision is to widely distribute AI computing to reshape our future for the good of humanity. Come join us. If witnessing the birth of AGI excites you, we can’t wait to hear from you! Vast.ai is a...

About the job Senior 2D Environment Artist You will play a key role in bringing our game worlds to life by creating stunning and visually appealing environments. An essential aspect of the role involves collaborating with cross-functional teams, including 3D artists, animators and VFX artists. The goal is to provide a comprehensive visual foundation that...

At Addison Group, we are seeking a skilled Senior Intellectual Property Paralegal Specialist to join our dynamic team. This role offers the opportunity to work in complex litigation cases, collaborating with experienced attorneys and professionals.About Our Client:Addison Group is a well-established firm specializing in high-profile cases across various...

About Our FirmCameron Craig Group is a well-established law firm with offices across California, known for handling high-profile and complex litigation matters.Job OverviewWe are seeking an experienced Senior Litigation Attorney to join our Trial & Litigation Practice Group in Los Angeles, CA. This position offers a competitive salary range of $165,000 -...