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Appeals Supervisor
UnitedHealth Group - Cypress, CA +1 location
with appropriate parties regarding appeals and grievance issues, implications ... complaints and complex or multi-issue provider complaints submitted by consumers...
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Member Appeals Nurse
Independence Blue Cross - New Jersey
per New Jersey legislation. This includes appeals from providers on behalf of members. ... tracking and responding to all member and/or provider appeals of adverse determinations...
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Supervisor Member/Provider Inquiry Research and Resolution
Molina Healthcare - Miami, FL +1 location
ation for each Member Inquiry. Ensures resolution is compliant. Coordinates workflows between departments and interface with internal and external resources. Manages Member...
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Director Medicare Part D Compliance, & Fwa
Growing Health Benefits Provider - Orlando, FL +1 location
a small, rapidly growing health benefits provider, has asked me to identify candidates ... federal level and state level Grievance and Appeals federal and state level Medicare...
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Senior Medical Audit Coordinator - RN
Kaiser Permanente - Oakland, CA
Coordinator Oakland, CA The Medical Audit Coordinator reviews claims for services ... pertaining to member and provider appeals rights required Qualified candidates...
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Provider Inquiry Dispute/Appeal Resolution Coordinator
Molina Healthcare - San Antonio, TX
Provider Inquiry Dispute/Appeal Resolution Coordinator - San Antonio, TX Position ... Summary Provider Disputes and/or Member Appeals Resolutions. Assesses and completes...
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Grievances/appeals Coord
ValueOptions - New York
The Grievance/Appeals Coordinator I functions as the point of contact for submission/resol ... and close incoming (verbal or written) provider or member grievance/appeals...
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Clinical Appeals Coordinator
Centene - Tacoma, WA +1 location
Appeals Coordinator Job Title: Clinical Appeals Coordinator Job Type: Full-Time ... and written information regarding member and provider clinical appeals . Prepare response...
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Appeals Coordinator Healthchoice
Orlando Health - Orlando, FL
Systems Healthchoice is seeking an Appeals Coordinator, full time day shift. The ... software knowledge required. Appeals Coordinator will serve as a liaison in...
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Appeal & Grievance Coord
Sterling Life Insurance Company - Brentwood, TN
Department: Grievance & Appeals Position reports to: Supervisor, Grievance & Appeals FLSA ... RESPONSIBILITIES: The Grievance and Appeals Coordinator will be responsible for managing...
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