Grievance & Appeals Coordinator I

Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and provider complaints, grievances and appeals. Prep Appeals, Coordinator, Administrative, Healthcare

Job Summary:The Healthcare Fraud Investigator is responsible for conducting thorough investigations and resolving allegations of healthcare fraud, waste, and abuse. This role requires analyzing data, reviewing records, and collaborating with internal and external partners to ensure optimal resolution.Key Responsibilities:Conduct investigations on assigned...

Job Summary:The Fraud and Abuse Investigator is responsible for conducting thorough investigations and resolving allegations of healthcare fraud, waste, and abuse. This role requires a strong analytical mind and excellent communication skills to work with internal and external partners.Key Responsibilities:Conduct investigations on assigned cases, including...

Work Shift:Day ShiftTime Type:Part timeDepartment:CC017117 Access Specialty Care ClinicOverview:The Patient Access Coordinator I plays a vital role in creating a welcoming environment at Arkansas Children's Hospital. This position is responsible for essential tasks related to scheduling and registration for outpatient services, ensuring that all demographic...

Arkansas Children's Hospital is a Tobacco-Free Workplace. Flu Vaccines are Required. Arkansas Children's is an Equal Opportunity Employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, protected veteran...

This position is primarily responsible for documenting, categorizing, trending, and providing a root cause analysis of denials and underpayments received by payors. Works collaboratively with key team members to initiate appeals process and follow up Management, Coordinator, Hospital, Payment, Healthcare, Claims, Skills

Medical Svcs Coord I We're looking for colleagues who are ready to Think Big, Go Fast, Deliver Awe, and Win Together. These core values embody our diverse and inclusive culture and help us live out our mission of "getting people the care they need when they need it." Over the last 30 years, our company has established itself as the market leader in managed...

Job DetailsJob Location Arkansas Heart Hospital - Little Rock, AR Position Type Full Time Description Position Summary This position is primarily responsible for documenting, categorizing, trending, and providing a root cause analysis of denials and underpayments received by payors. Works collaboratively with key team members to initiate appeals process and...

Position OverviewThe Patient Access Representative I plays a crucial role in the Emergency Department by ensuring a positive initial experience for patients and their families. This position is essential for the smooth operation of patient registration and scheduling.Key ResponsibilitiesPerform essential functions related to patient scheduling and...

Position OverviewThe Patient Access Representative I plays a crucial role in ensuring a positive first impression for patients and families at Arkansas Children's Hospital. This position is essential in the Emergency Department, where the representative is responsible for key administrative functions.Key ResponsibilitiesPerforming essential tasks related to...

We are looking for a Customer Relations Manager to become a vital part of our organization. In this role, you will be instrumental in assisting clients by delivering comprehensive product and service insights while addressing technical challenges.Key Responsibilities:Manage client inquiries and grievancesOffer detailed information regarding our products and...

The Pharmacist I works under minimal supervision to assess, prepare, dispense and assist in coordinating all day-to-day dispensing functions of the pharmacy in a timely and accurate manner. The pharmacist will use their knowledge, skills and clinical Pharmacist, Pharmacy, Outpatient, Pharmacy Technician, Patient, Patient Services, Healthcare, Education

Job DescriptionJob DescriptionJob Title: Fitness Center Program CoordinatorJob Type: Full Time.Schedule: 05:00 to 20:00 - Monday through Friday; 09:00 to 16:00 – Saturday; 09:00 to 15:00 – SundayLocation: Camp Joseph T. Robinson, North Little Rock, ArkansasQualifications:Bachelor's degree in exercise science or related fieldExperience in program...

Job DescriptionJob DescriptionJob DescriptionGranite Mountain Quarries is looking for the right culture fit to join our team as a Safety & HR Coordinator for our office in Little Rock, Arkansas. This position will report to the Safety & Human Resources Director and through its duties will help ensure that GMQ continues to maintain an outstanding safety...

Work Shift:Please refer to the job description for specifics.Time Type:Part-timeDepartment:CC017110 AdmissionsOverview:This role involves managing the Medicaid Application Process, Financial Aid Process, cost estimation, and various assistance programs. Acts as Support Staff for patients without insurance or those under-insured by linking them to resources...

Job DescriptionJob DescriptionWe are currently hiring for two positions: A Maintenance Technician and a Lead Maintenance Technician. *Seeking hard working, dedicated and reliable team player to join our CVP family*Hard working loyal individual, goal driven with owners mindset*Competitive Hourly Pay + Quarterly Bonuses + PTO +Unbeatable benefits including...

Job DescriptionJob DescriptionWe are currently hiring for two positions: A Maintenance Technician and a Lead Maintenance Technician. *Seeking hard working, dedicated and reliable team player to join our CVP family*Hard working loyal individual, goal driven with owners mindset*Competitive Hourly Pay + Quarterly Bonuses + PTO +Unbeatable benefits including...

Transportation Project Manager I at HNTB North TexasBecome a part of HNTB North Texas as a Transportation Project Manager I. Our organization boasts a longstanding tradition of executing transportation initiatives for significant clients in the region. With a vibrant team dedicated to inclusivity and professional growth, HNTB North Texas provides engaging...

Job DescriptionJob DescriptionAre you looking for a company you can grow your career with and advance in?Are you goal oriented, self-motivated & proactive by nature?Do you have a passion for health and wellness and love sales?If you have the drive, desire, and initiative to work with a world-class organization, we want to talk to you. At The Joint...

Position Location: Eagan, MN; Carmel, IN; or Little Rock, ARAre you an electrical engineer who thrives on applying analysis to identify trends and predict future issues to effectively implement courses of action?Does the thought of being part of a company that impacts over 45 million people by helping ensure they have electricity excite you?If so, read...