Appeals officer jobs & Careers

Description Summary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate will be a liaison an...

Description Physician-Advisor (Care Management and CDI) Physician Advisor - Care Management & CDI Roles and Responsibilities Overview The Physician Advisor-Care Management and Clinical Documentation Improvement (PACM) is a full-time administrative physician ro...

NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations , a chi...

Nurse Manager - Case Management Day Shift (Hours: 8a-4:30) No Weekends or Holiday Wilmington, DE ChristianaCare Wilmington Hospital is looking for an energetic, motivated Nurse Manager for our Case Management Department to manage the daily operations of longit...

Description Summary: Responsible for the duties and services that are of a support nature to the RCBS High Performance Work Teams. Ensures that all processes are performed in a timely and efficient manner. Performs assigned duties such as, cash posting, customer serv...

Description Summary: Responsible for the duties and services that are of a support nature to the RCBS High Performance Work Teams. Ensures that all processes are performed in a timely and efficient manner. Performs assigned duties such as, cash posting, customer serv...

What You Need To Know Open your future to incredible career potential. Work for an industry-leader who invests in their people. Southern Glazer's Wine & Spirits is North America's preeminent wine and spirits distributor, as well as a family-owned, privately held company w...

NYU Grossman School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless p...

We are seeking an Administrative Law Judge to conduct hearings for unemployment, tax labor disputes, and public assistance. Contract Role through 12+ months. Required...

THE SUPREME COURT OF APPEALS OF WEST VIRGINIA POSITION ANNOUNCEMENT STAFF ATTORNEY IN OFFICE OF COUNSEL EMPLOYMENT OPPORTUNITY Position open until filled ...

DEPUTY CLERK OF COURT FOR THE INTERMEDIATE COURT OF APPEALS POSITION ANNOUNCEMENT   The Supreme Court of Appeals of West Virginia seeks an attorney to be employed as the...

REQUIRED: Graduation from an accredited law school AND bar membership (license to practice law) in any state in good standing o The Hearing Officer 3 is responsible for prepari...

Job Title: Hearing Officer 3/Administrative Law Judge(1372) Location: 1789 W. Jefferson Street, Phoenix, AZ, 85007 Duration: 12 months Contract (possible extension) ...

Barry McTiernan & Moore LLC is full-service defense litigation firm. Since 1930 BMM has represented Fortune 500 companies and their insureds in complex, high-exposure cases. Th...

Fulcrum Health, Inc. is a nonprofit, physical medicine benefit management organization that has delivered quality care through its network of over 4,800 credentialed physical m...

***Please note that the State of California requires you to complete the Civil Service application process, and applying on LinkedIn does not complete this process. If you wou...