Jobs near Grand Prairie: 13,101
RS
Relevance Score ranked on: APPEALS
Medical Director-Appeals (Primary Care-IM or FM)
GRAND PRAIRIE, 2505 N HWY 360, STE 300
Appeal Reviews. Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determ...
Search Terms: Medical Director, Director, Appeals, Medical, Behavioral Health
86.3
0mi
Updated: September 18
Medical Director-Appeals (Primary Care-IM or FM)
GRAND PRAIRIE, 2505 N HWY 360, STE 300
Appeal Reviews. Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determ...
Search Terms: Medical Director, Director, Appeals, Medical, Behavioral Health
85.2
0mi
Updated: September 14
Clinical Review Coordinator Appeals and Denials - Remote
Dallas
Ensure timely processing of all denial- related and member-oriented written communications. Ensure that all denial information is processed according to protocol and that all documentation is timely and meets all Federal and State requirements Ensure second-level reviews have been performed and docum...
Search Terms: Clinical, Appeals, Coordinator, Medical Director, Processing
81.5
12mi
Updated: September 14
Clinical Review Coordinator Appeals and Denials - Remote
Dallas
Ensure timely processing of all denial- related and member-oriented written communications. Ensure that all denial information is processed according to protocol and that all documentation is timely and meets all Federal and State requirements Ensure second-level reviews have been performed and docum...
Search Terms: Clinical, Appeals, Coordinator, Medical Director, Processing
81
12mi
Updated: September 11
Senior Appeals Representative - National Remote
Dallas
Demonstrates a depth and breadth of knowledge / skills in own area and is often able to apply these outsides of own function which could include but not limited to: Triage requests into correct categories Document request as A&G Correspondence or A&G Appeal ensure accurate data entry Prioritize work ...
Search Terms: Behavioral Health, Appeals, Representative, Microsoft, Senior
80.6
12mi
Updated: September 14
Clinical Review Coordinator Appeals and Denials - Remote
Dallas
Ensure timely processing of all denial- related and member-oriented written communications. Ensure that all denial information is processed according to protocol and that all documentation is timely and meets all Federal and State requirements Ensure second-level reviews have been performed and docum...
Search Terms: Clinical, Appeals, Coordinator, Medical Director, Processing
80.5
12mi
Updated: September 06
Clinical Review Coordinator Appeals and Denials - Remote
Dallas
Ensure timely processing of all denial- related and member-oriented written communications. Ensure that all denial information is processed according to protocol and that all documentation is timely and meets all Federal and State requirements Ensure second-level reviews have been performed and docum...
Search Terms: Clinical, Appeals, Coordinator, Medical Director, Processing
80.4
12mi
Updated: September 05
Senior Clinical Appeals Reviewer - National Remote
Dallas
Excellent verbal and written communication skills with Pharmacists, Medical Directors, and Business Partners Work efficiently to meet daily deadlines for appeal review Case Preparation, Case Pre-Closure, Outreach, and proper system documentation for every appeal Work efficiently to meet deadlines whe...
Search Terms: Clinical, Appeals, Pharmacy Technician, Medical Director, Clinic
80
12mi
Updated: September 10
Appeals Coordinator Subject Matter Expert - National Remote
Dallas
Demonstrates a depth and breadth of knowledge / skills in own area and is often able to apply these outside of own function which could include but not limited to: Triage requests into correct categories Document request as A&G Correspondence or A&G Appeal ensure accurate data entry Prioritize work b...
Search Terms: Expert, Behavioral Health, Appeals, Coordinator, Microsoft
78.9
12mi
Updated: August 27
Treatment Advocate - Admissions (PRN Eve)
Grand Prairie
The Treatment Advocate (TA) will observe client's daily activities and assist in their recovery. TA will collaborate with the Treatment team and assist with service coordination as needed for patients. American Addiction Centers strives to ensure that all of our patients receive the most comprehensiv...
Search Terms:
0
0mi
Updated: September 20
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