, this position is responsible for processing and adjudicating non-Utilization Management appeals according to the appropriate federal... member’s requests for appeals. JOB REQUIREMENTS: High School Degree or GED. 3 years experience in a customer service...
for better? Job Description The Coding Specialist II reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics... and accreditation standards. The PB Coding Specialist II performs Current Procedural Terminology (CPT) and International...
or any other available resource. Refers to the Great Lakes specialist for non-insured patients for a potential Public Aid application based off DHS... authorizations obtained, what follow up is needed (clinicals), have insurances approved/pended/denied authorizations, are appeals...
: January 27, 2025 - July 26, 2025 Option Period I: July 27, 2025 - January 26, 2026 -Option II January 27, 2026... Paralegal Specialist to respond to the public, appellants, and their representatives, concerning potential, pending and past...