Appeals Specialist

Overview: As the Health Plan Claims Appeal Specialist for a Health Maintenance Organization (HMO), and other Health Plans based in Texas, this position is responsible for investigating and resolving all first level and second level Health Plan Claims Appeals. In reviewing the Claims Appeals, this role is responsible for assessing the appeals to ensure...

Job DescriptionJob DescriptionDescription:REMOTE - this position will be fully remote after training. (Texas, Montana, Mississippi, Louisiana, Georgia, Oklahoma, and North Carolina residents only).Job purposeThe Appeals Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, handling...

Job DescriptionJob DescriptionDescription:REMOTE - this position will be fully remote after training. (Texas, Montana, Mississippi, Louisiana, Georgia, Oklahoma, and North Carolina residents only).Job purposeThe Appeals Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, handling...

Job OverviewOutdoor Maintenance SpecialistPartners Commercial Cleaning, LLC is looking for a committed Outdoor Maintenance Specialist to enhance the cleanliness and visual appeal of our commercial properties.The main objective of this position is to maintain the cleanliness and safety of outdoor areas, thereby improving the property's curb appeal.Key...

Application Instructions:Ensure your application is comprehensive, including details of your educational background, work history, and any relevant sections. The initial evaluation will focus on the minimum qualifications outlined in the job listing, such as educational credentials, professional experience, licenses, and certifications. Your application...

Key Responsibilities:Culinary Specialist will be responsible for preparing and cooking food according to established menus and recipes.Direct and supervise food preparation and serving activities to ensure high-quality service and customer satisfaction.Ensure cleanliness and organization of kitchen equipment, appliances, and work areas to maintain a safe and...

Job SummaryWe are seeking a highly skilled Merchandising Specialist to join our team at Southern Glazer's Wine & Spirits. As a Merchandising Specialist, you will be responsible for creating visually appealing displays and maintaining a high level of product presentation in our retail accounts.Key ResponsibilitiesDisplay Creation and Maintenance: Design and...

Job OverviewNuRock is seeking a highly motivated and results-driven Leasing Specialist to join our team. As a Leasing Specialist, you will be responsible for marketing and leasing rental units at our Apartment Communities in the Austin area.Key ResponsibilitiesProspect Engagement: Greet all prospects visiting the leasing office, answer phone and personal...

Job Description: Client Advocacy Specialist I This remote position allows for teleworking from various locations within Texas. Under the supervision of the Managing Ombudsman of the Ombudsman Complaint Services Team, the Client Advocacy Specialist I will play a crucial role in addressing and mediating a variety of grievances, disputes, or complaints...

Job DescriptionJob DescriptionSalary: Competitive pay based on experienceNAU Urology Specialists is growing and we're looking for a motivated, confident, engaging and experienced A/R Specialist to join our team!  We have four locations in the Austin area.  This A/R Specialist position is full time and located at our "Lakeline" location (just south of...

Job DescriptionJob DescriptionSalary: Competitive pay based on experienceNAU Urology Specialists is growing and we're looking for a motivated, confident, engaging and experienced A/R Specialist to join our team!  We have four locations in the Austin area.  This A/R Specialist position is full time and located at our "Lakeline" location (just south of...

Job DescriptionJob DescriptionSalary: Competitive pay based on experienceNAU Urology Specialists is growing and we're looking for a motivated, confident, engaging and experienced A/R Specialist to join our team!  We have four locations in the Austin area.  This A/R Specialist position is full time and located at our "Lakeline" location (just south of...

Job SummaryThe Culinary Specialist at Ampler Chicken is responsible for delivering exceptional dining experiences to our guests by preparing and cooking high-quality food products in a clean and safe environment.Key ResponsibilitiesFood Preparation and CookingPrepare and cook all food products according to company standards and quality specifications.Ensure...

Job OverviewPosition Type: Remote (available to residents of specific states)Role Summary:The Claims Resolution Specialist plays a crucial role in addressing insurance claim denials by meticulously reviewing claims and associated clinical documentation, processing payments, managing correspondence, and drafting appeals to rectify payment discrepancies.Key...

Retail Sales SpecialistDepartment: Store OperationsCompany OverviewCycle Gear is a prominent entity in the powersports aftermarket-products sector, dedicated to enhancing the experiences of powersports enthusiasts globally through its renowned brands.Position OverviewAs a Retail Sales Specialist, your primary focus will be to deliver outstanding service to...

Retail Sales SpecialistDepartment: Store OperationsCompany OverviewCycle Gear is a prominent name in the powersports aftermarket-products sector, dedicated to enhancing the experiences of enthusiasts across the globe through its esteemed brands.Position OverviewAs a Retail Sales Specialist, your primary focus will be to ensure that every customer, from...

Position OverviewThe Internal Revenue Service is seeking a dedicated professional to join our team as a Tax Compliance Specialist. This role involves a comprehensive understanding of tax regulations and the ability to conduct thorough examinations of tax returns across various taxpayer categories.Key ResponsibilitiesAs a Tax Compliance Specialist, your...

Job DescriptionJob DescriptionJob Title: HR Dashboard SpecialistJob Overview: We are seeking a detail-oriented and technically skilled HR Dashboard Specialist to design, develop, and manage HR dashboards that provide critical insights into HR metrics and performance. This role involves creating visual representations of HR data to support strategic...

** Guest services Specialist(FT/PT)** **Job Category****:** Golf **Requisition Number****:** GUEST001231 Showing 1 location **Job Details** **Description** Golfinity Performance Club in Austin, Texas is excited to announce the career opportunity of Guest Services Specialist. Be a part of our team at this cutting edge Golf facility with opportunity for career...

Job Summary:We are seeking a highly skilled Registered Nurse to join our team as a Pediatric Medical Specialist - PRN. As a key member of our Utilization Management team, you will be responsible for managing effective utilization review processes, including patient statusing and medical necessity review functions for assigned sites.Key...