Jobs near Melville: 2,965
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Relevance Score ranked on: APPEALS
CHS Utilization and Appeals Manager
Melville
But not limited to: § Receives, manages and provides clinical reviews and/or submissions as required by contractual or regulatory requirements. § Researches initial denial, identifying reason for the denial and contributing factors that led to the denial and mitigates, manages and/or escalates denial...
Search Terms: Appeals, Manager, Clinical, Regulatory, Department Leader
87.8
0mi
Updated: December 18
Clinical Denials & Appeals Specialist (Registered Nurse)
Melville
Remote Work Schedule: Sun-Thurs/8 AM-4 PM Job Description Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility Serves as liaison between the patient and facility/ph...
Search Terms: Appeals Specialist, Registered Nurse, Clinical, Appeals, Registered
81
0mi
Updated: December 19
Clinical Denials & Appeals Specialist (Registered Nurse)
Melville
Remote Work Schedule: Sun-Thurs/8 AM-4 PM Job Description Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility Serves as liaison between the patient and facility/ph...
Search Terms: Appeals Specialist, Registered Nurse, Clinical, Appeals, Registered
81
0mi
Updated: December 19
Clinical Denials & Appeals Specialist (Registered Nurse)
Melville
Remote Work Schedule: Sun-Thurs/8 AM-4 PM Job Description Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility Serves as liaison between the patient and facility/ph...
Search Terms: Appeals Specialist, Registered Nurse, Clinical, Appeals, Registered
81
0mi
Updated: December 19
Clinical Denials & Appeals Specialist (RN) - Remote
Melville
Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps. Job Responsibility Serves as liaison between the patient and facility/physician and the third party payer. Prepares and defends le...
Search Terms: Appeals Specialist, Clinical, Appeals, Specialist, Remote
79.5
0mi
Updated: December 06
Senior Product Services & Management Analyst - Epic Clin Doc
Melville
Supports and enhances products on larger, more complex or multiple products for enterprise resource planning, budgeting, data warehousing, and financial reporting. Collaborates with Finance and vendors to ensure products and solutions are properly supported. Provides support to ensure all products ar...
Search Terms: Product, Analyst, Management, Senior, Project Management
0
0mi
Updated: December 24
Supervisor, Revenue Cycle
Melville
Supervises and coordinates the staff and daily operations in the assigned unit. Mentors and develops skills of direct reports. Participates in evaluation and implementing quality controls and performance improvement activities. Job Responsibility Promotes Revenue Cycle department goals by selecting, ...
Search Terms: Revenue, Supervisor, Cycle, Operations, Manufacturing
0
0mi
Updated: December 24
Underwriting Consultant (Life Sciences)
Melville
Underwriting Expertise - Reviews applications and financial requirements to determine acceptability of risk in accordance with CNA’s guidelines and standards - Understands pricing components and rating methodology as well as use of the predictive modeling tools; prices risk based on financial and com...
Search Terms: Underwriting Consultant, Underwriting, Science, Consultant, Producer
0
0mi
Updated: December 24
Dental Device Assembler
Melville
Looking for someone who knows how to use hand tools, has experience using and building things with their hands. Must be able to use computers to enter information of completed task. Must have experience with building or assembling parts. If you feel like you have those skills, we'd love to have a con...
Search Terms: Dental, Assembler, Device, Technology, Staffing
0
0mi
Updated: December 24
Quality Control - Food
Melville
Join Our Team as a Quality Assurance Food Production Worker! Are you passionate about ensuring top-notch quality in every bite? We're searching for dedicated Quality Assurance Food Production Workers to join our team and uphold excellence in every aspect of our production process. Requirements: Previ...
Search Terms: Quality Control, Quality Assurance, Production Worker, Food, Control
0
0mi
Updated: December 24
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