Provider Payment Appeal Analyst I
3 weeks ago
Reviews and analyzes provider requests to investigate the outcome of a Reconsideration. Considers all information when determining whether to uphold or overturn primary decision. Works with various departments including Provider Solutions and Health Analyst, Payment, Operations, Technology, Healthcare, Compensation, Benefits
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Appeals and Grievances Representative, Advanced
3 months ago
El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
2 weeks ago
El Dorado Hills, United States Blue Shield Of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
2 weeks ago
El Dorado Hills, United States Blue Shield Of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
2 weeks ago
El Dorado Hills, United States Blue Shield Of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
2 months ago
El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
3 months ago
El Dorado Hills, United States Blue Shield of California Full timeYour RoleThe Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
3 months ago
El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
1 month ago
El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
2 months ago
El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
3 months ago
El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
3 months ago
El Dorado Hills, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
3 months ago
El Dorado Hills, CA, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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El Dorado Hills, CA, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Consumer Lending Governance Analyst I
4 weeks ago
Farmington Hills, United States comerica Full timeLending Governance Analyst IThe Governance Lending Analyst I plays a critical role in the management of Risk as the First Line of Defense (FLOD). The Lending Governance Analyst I performs functions in each of the Risk Management lifecycle steps of Planning, Identifying, Assessing, Mitigating, Monitoring and Reporting. The ownership of the risk and the...
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El Dorado Hills, CA, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
3 months ago
El Dorado Hills, CA, United States Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...
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Appeals and Grievances Representative, Advanced
3 months ago
United States, CA, El Dorado Hills Blue Shield of California Full timeYour Role The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances, Advanced Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible for taking incoming telephone calls, reviewing, researching, and responding to...