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Humana
Columbus, OH, United States
Humana Medicare Grievances and Appeals Corporate Medical Director Oklahoma City , Oklahoma Apply Now Become a part of our caring community and help us put health first The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of diver
Job Source: HumanaHumana
Columbus
**Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical in
Job Source: HumanaElevance Health
Columbus, OH, United States
Nurse Appeals – Licensed RN Nurse Location: This position will work in a hybrid model (remote and office). Ideal candidates will live in Virginia, Georgia, Florida, Indiana, or Ohio within 50 miles of one of our PulsePoint locations. Shift: Monday to Friday from 8:00 am - 5:00 pm ET or Tuesday to Saturday from 8:00 am – 5:00 pm ET (will work we
Job Source: Elevance HealthEvolent Health
Columbus
**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for
Job Source: Evolent HealthManpowerGroup
New Albany
Our client, in **Columbus, OH** is seeking a **Coordinator** to join their team. **They are hiring at three levels.** **Job Title: Coordinator** **Location: Columbus, OH** **Pay Range: $33-46/hr** **What’s the Job?** + We are seeking a detail-oriented and highly organized Compliance Specialist to join our team. In this role, you will play a crucial
Job Source: ManpowerGroupAccuity
Columbus, OH, United States
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 o
Job Source: AccuityAccuity
Columbus, OH, United States
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 o
Job Source: AccuityIntermountain Health
Columbus
**Job Description:** Responsible for drafting, advancing, and maintaining all legal documents, letters and correspondence for appealing with third party and governmental payers to obtain reimbursement including handling difficult, hard to collect accounts that have been deemed by the insurance company to be unpayable. Scope This is a regional role
Job Source: Intermountain HealthColumbus
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position SummaryCreated grievance and appeals cases in the G&A system and sends acknowledgement letters to members and providersRequired QualificationsData Entry SkillsPreferred QualificationsOrganized, ability to multi-task, Detail orientedEducationHigh Scholl Diploma or GED
Pay Range
The typical pay range for this role is:
$17.00 - $25.65
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits
We anticipate the application window for this opening will close on: 07/15/2024
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Email Alert for Grievance and Appeals Intake Coordinator_ jobs in Columbus
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