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Confidential
A company is looking for a Clinical Appeals Analyst. Responsibilities: Exercise clinical knowledge to make determinations about medical needs or alternatives Assess, process, and complete non-routine appeals and grievance to ensure customer...
Confidential
A company is looking for a Sr - Admin Appeals. Key Responsibilities: Maintains updated knowledge of project and corporate policies and procedures Understand implications or work and make recommendations for solutions Perform other duties as...
Confidential
A company is looking for a Supervisor, Grievances and Appeals. Key Responsibilities: Process and report grievances and appeals accurately and timely Ensure compliance with CMS requirements and develop trends for management reporting Lead,...
Confidential
A company is looking for a Graphic Designer for their bi-annual publication. Key Responsibilities: Determine the overall look and feel of the publication Create visually appealing designs for the publication Ensure the design aligns with the...
Confidential
A company is looking for a Human Resources Administrator. Responsibilities: Assist with onboarding and document management for new hires Handle unemployment claims and appeals Manage benefit enrollments, terminations, and inquiries...
Confidential
A company is looking for an Associate Accounts Receivable Representative. Responsibilities: Thorough and timely patient account follow-up to ensure accurate accounts receivable reporting Following up with insurance companies and/or third-party...
Confidential
A company is looking for a Patient Account Representative. Key Responsibilities: Follow up on unpaid accounts with payers through phone or websites Review accounts for underpayments and resolve payment with payers Perform appeals with payers...
Confidential
A company is looking for a Direct Response Associate in the United States. Key Responsibilities: Assist with project management and coordination of a multi-channel fundraising program Manage the acknowledgment program and document processes...
Confidential
A company is looking for a Medicaid Claims Resolution Specialist. Key Responsibilities: Work on pending, denied, or incorrectly paid Medicaid claims Review and address issues causing claims to remain on hold Handle denials and appeals,...
Confidential
A company is looking for a Contract Graphic Designer. Responsibilities: Design visually compelling assets for campaigns and creative projects Prepare digital decks for various uses Create visually appealing video campaigns on social media and...
Confidential
A company is looking for a Graphic Designer for a part-time remote position in the United States. Key Responsibilities: Create visually appealing designs for various projects Collaborate with the team to develop and execute design concepts...
Confidential
A company is looking for a Motion Designer. Key Responsibilities: Create UI animations for new websites based on Figma mockups Produce short videos showcasing product features, analytics, and translation Create longer product videos with...
Confidential
A company is looking for an eLearning Multimedia Designer. Key Responsibilities: Design and develop multimedia elements for e-learning courses Transform complex concepts into visually appealing content Create interactive learning modules and...
Confidential
A company is looking for an Insurance Biller (Claims Resolution Specialist). Key Responsibilities: Work on pending, denied, or incorrectly paid claims by Insurance carriers Identify and address issues causing claims to remain on hold Handle...
Confidential
A company is looking for a Quality Assurance Manager I. Key Responsibilities: Oversee and monitor the quality assurance program Audit and ensure accuracy and consistency in reconsideration/dispute resolution decisions Analyze data to identify...
Confidential
A company is looking for an Appellate Hearing Representative. Key Responsibilities: Analyze individual case information and review data, document images, and client witness discussions Prepare clients and their witnesses for unemployment...
Confidential
A company is looking for a Data Visualization Business Analyst III. Key Responsibilities: Develop dashboards, presentations, and internal communications with a consistent theme Create visually appealing and easily understood data visualizations...
Confidential
A company is looking for a Complaints & Grievances Specialist II. Key Responsibilities: Investigate and resolve member appeals, complaints, and grievances based on regulatory requirements Prepare State Fair Hearing packets and...
Confidential
A non-profit organization is seeking a Senior Manager of Mid-Level Philanthropy for a remote, full-time position. Key Responsibilities: Develop and implement a mid-level donor program, focusing on donor engagement and retention Create...
Confidential
A company is looking for a Member Services Coordinator - Bilingual Chinese in California, United States. Key Responsibilities: Assist and respond to all Medicare members? requests, questions, and concerns in a timely and professional manner...
Confidential
A company is looking for a Marketing Entrepreneurship Department Chair in the United States. Key Responsibilities: Articulate department goals and needs to advance programs within the School and outside the institution Collaborate with...
Confidential
An organization is seeking an Accounts Receivable Specialist. Key Responsibilities: Initiate billing on assigned claims in a timely manner and maintain control of claims billed and pending Follow-up on unpaid claims, submit necessary appeals,...
Confidential
A company is looking for a Counsel Seniority Level: Mid-Senior Level. Key Responsibilities: Defend complicated benefits litigation matters including class actions and single-plaintiff lawsuits in both ERISA and non-ERISA contexts Handle...
Confidential
A company is looking for aJunior Visual Designer. Responsibilities: Assist in creating visually engaging designs for the website and digital products Edit images and videos to create polished visual content for marketing materials Collaborate...
Confidential
A company is looking for a Senior Associate IDI Underwriter. Key Responsibilities: Evaluate IDI applications and make underwriting decisions based on morbidity, financial, and occupational risks Collaborate with medical directors and...
Confidential
A company is looking for a Creative Strategist. Key Responsibilities: Invent ad concepts and campaigns that balance the needs of clients with the tastes of the audience Write concept pitches, RFP responses, and communications that embody the...
Confidential
A company is looking for a Food and Water Corporate Engagement Associate. Key Responsibilities: Assist with portfolio management, fundraising tasks, and corporate research and engagement strategy development Coordinate with the team to...
Confidential
A company is looking for a Medical Biller with Anesthesia experience for a full-time night shift position. Key Responsibilities: Post medical charges, payments, and journal entries to patient accounts accurately and in a timely manner Work with...
Confidential
A company is looking for an Insurance Services Representative - Insurance Follow-up. Key Responsibilities: Maximize reimbursement by working accounts and resolving payer rejections and denials through the appeals process Perform systematic and...
