Jobs: appeals

The Supervisor of Appeals will lead a team of Appeal Specialists and Appeal Coordinators who process clinical and non-clinical appeals, and claim review requests, from all provider types, as well as clinical and non-clinical appeals and claim review requests from members. Ensures appeals are completed according to all regulatory standards as well as...

Job Title: Appeals Coordinator Hybrid Position : WI, TN, CA or TX If selected you must be in a commutable distance to one of our offices:   Appleton, WI  Rancho Cordova, CA  Nashville, TN Irving, TX Summary : The Claims Appeals Coordinator is responsible for reviewing, analyzing and processing claims for pre services and post service grievances...

Looking for an Appeals Attorney who will play a crucial role in the legal team, focusing on appealing cases on behalf of the clients. This position requires a deep understanding of appellate law, exceptional writing and analytical skills, and the ability to craft persuasive arguments to present before appellate courts.Key Responsibilities:Review trial...

Looking for an Appeals Attorney who will play a crucial role in the legal team, focusing on appealing cases on behalf of the clients. This position requires a deep understanding of appellate law, exceptional writing and analytical skills, and the ability to craft persuasive arguments to present before appellate courts.Key Responsibilities:Review trial...

Looking for an Appeals Attorney who will play a crucial role in the legal team, focusing on appealing cases on behalf of the clients. This position requires a deep understanding of appellate law, exceptional writing and analytical skills, and the ability to craft persuasive arguments to present before appellate courts.Key Responsibilities:Review trial...

SummaryClick on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at Duties WHAT IS THE APPEALS DIVISION?A description of the business units can be found at: Vacancies will be filled in the following specialty...

Job Description - Appeals & Grievances Coordinator (3285818) Appeals & Grievances Coordinator ( Job Number: 3285818 ) While a remote role, this team meets every other month at the office at Assembly Row in Somerville and attendance is highly encouraged. This role would also require on-call coverage on the weekends (currently every third weekend...

With over 150 years of caring for our community and each other in the Washington DC area, Howard University Hospital has a world-renowned reputation for high-quality, patient-centric care. Howard University Hospital is the nation’s only teaching hospital located on the campus of a Historically Black University and has created a superior learning...

Summary Eligibilities being considered and other IMPORTANT information. WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at Duties WHAT IS THE APPEALS (AP) DIVISION? A description of the business units can be found at: Vacancies will be filled in the following specialty areas: Independent Office of Appeals,...

With over 150 years of caring for our community and each other in the Washington DC area, Howard University Hospital has a world-renowned reputation for high-quality, patient-centric care. Howard University Hospital is the nation’s only teaching hospital located on the campus of a Historically Black University and has created a superior learning...

With over 150 years of caring for our community and each other in the Washington DC area, Howard University Hospital has a world-renowned reputation for high-quality, patient-centric care. Howard University Hospital is the nation’s only teaching hospital located on the campus of a Historically Black University and has created a superior learning...

SummaryClick on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at Duties WHAT IS THE OFFICE OF APPEALSDIVISION?A description of the business units can be found at: Vacancies will be filled in the following specialty...

Job TypeFull-timeDescriptionThe Appeals and Denials Specialist is responsible for triaging and writing DRG downgrades and clinical validation appeal letters for multiple clients. The Appeals and Denials Specialist will ensure appropriate action is taken within appeal deadlines. This position collaborates with the Appeals and Denials team and other...

All Jobs > Appeals and Denials Specialist The Appeals and Denials Specialist is responsible for triaging and writing DRG downgrades and clinical validation appeal letters for multiple clients. The Appeals and Denials Specialist will ensure appropriate action is taken within appeal deadlines. This position collaborates with the Appeals and Denials team and...

Job Type Full-time Description The Clinical Appeals Manager will oversee the clinical appeals process, ensuring timely and accurate handling of cases in alignment with state and federal regulations. The role includes conducting medical necessity reviews, advocating for clients' access to essential treatments, and acting as a liaison between clients and...

Job Type Full-time Description The Appeals and Denials Specialist is responsible for triaging and writing DRG downgrades and clinical validation appeal letters for multiple clients. The Appeals and Denials Specialist will ensure appropriate action is taken within appeal deadlines. This position collaborates with the Appeals and Denials team and other...

Job Type Full-time Description The Appeals and Denials Specialist is responsible for triaging and writing DRG downgrades and clinical validation appeal letters for multiple clients. The Appeals and Denials Specialist will ensure appropriate action is taken within appeal deadlines. This position collaborates with the Appeals...

Job Type Full-time Description The Appeals and Denials Specialist is responsible for triaging and writing DRG downgrades and clinical validation appeal letters for multiple clients. The Appeals and Denials Specialist will ensure appropriate action is taken within appeal deadlines. This position collaborates with the Appeals and...

Job Type Full-time Description The Appeals and Denials Specialist is responsible for triaging and writing DRG downgrades and clinical validation appeal letters for multiple clients. The Appeals and Denials Specialist will ensure appropriate action is taken within appeal deadlines. This position collaborates with the Appeals and Denials team and other...

Who We Are Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and...