Specialist, Appeals

Performs non-medical reviews and processes redetermination letters. 50% Performs non-medical reviews and processes redetermination letters ensuring timeliness and accuracy. 30% Prepares unit reports, analyzes and interprets workload, and processes issues utilizing various software tools. 10% Updates letters and documents within the department when necessary....

Job Responsibilities Do you have a passion to provide meaningful contributions to your community? Would you like to be part of an organization whose central mission is helping to protect, stabilize and strengthen the lives of South Carolina's children, families, and vulnerable adults? If so, the SC Department of Social Services has the right job opportunity...

Job Summary and Primary Responsibilities As a Patient Care Specialist with NCS, you will drive a positive, seamless post-surgery patient experience through exemplary communication and customer service. In addition to billing and collections, you will field questions and educate patients on financial assistance as needed. You will also collaborate...

MedStar Health is actively recruiting for a Litigation Specialist to join our Legal team. While this position does have significant remote flexibility, they must be local to the Maryland / DC area for regular on-site responsibilities. Performs a variety of duties including; investigations, negotiations, and strategic decisions in a confidential nature to...

Job Summary Financial Aid Specialist Grant University of South Carolina Upstate RTFPO24 Spartanburg, SC The Financial Aid Specialist serves as the primary contact for community outreach for financial aid for Spartanburg county schools and organizations. Serves Spartanburg County enrolled and prospective students and adults returning to college....

* SIGN-ON BONUS: $5,000 - if Licensed Registered Nurse (RN) ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning...

Details Department: Care Management-Population HealthSchedule: Monday-Friday, 8:00AM-5:00PMHospital: Ascension St. AgnesLocation: Baltimore, MDWe offer free parking to all associates!Bachelors in Nursing, Master in Healthcare related field preferredAt least 5 years of direct nursing experienceCare Management experience preferred2 years management...