Healthcare - Appeals Specialist I
Saviance · Centralia, WA
Job description(tap to read)
Member Complaint Resolution Specialist Candidates must live in one of the preferred 15 states (AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle), WI) and will be able to work in their own timezone schedule will be Monday to Friday8AM to 4:30PM. Job duties include: • Research member complaints • Update system to reflect research completed • Resolve member complaint within the timeframe Will require laptop, monitor, keyboard/mouse, headset. Job Summary: Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid. Knowledge/Skills/Abilities: • Comprehensive research and resolution of appeals, dispute, grievances, and/or complaints from Molina members, providers and related outside agencies • Research claims appeals and grievances using support systems to determine outcomes • Requests and reviews medical records, notes, and/or detailed bills as appropriate • Formulates conclusions per protocol and other business partners to determine response • Meet production standards set by the department • Apply contract language, benefits, and review of covered services • Contact the member/provider through written and verbal communication • Prepares appeal summaries, correspondence, and document findings • Composes all correspondence and appeal/dispute and/or grievances information concisely and accurately • Research claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error • Resolves and prepares written response to incoming provider reconsideration request relating to claims payment and requests for claim adjustments or to requests from outside agencies Job Qualifications Required Education: High School Diploma or equivalency Required Experience: • Min. 2 years operational managed care experience (call center, appeals or claims environment) • Health claims processing background, including coordination of benefits, subrogation, and eligibility criteria • Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials • Strong verbal and written communication skills
42A Human Resources Specialist
Army National Guard · Centralia, WA
When a Soldier has a question about benefits, policy, or needs help with a sensitive issue, the Army National Guard’s Human Resources Specialist is the primary go-to person.As an HR Specialist, you will help Soldiers develop their Guard careers and provide personnel support and assistance to all d
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DoorDash · Centralia, WA
Social security number (only in the US).
CDL-A Team Truck Driver Job (or Solo Willing to Match) - Earn $100,000+ PER DRIVER!
Covenant Transport · Centralia, WA
CDL Team Driver Jobs (Established or Willing To Match) Dedicated Freight | No-Touch Loads | Consistent MilesWhy CDL Teams Choose Covenant • EARN $100,000+ PER DRIVER • Top Teams Earn $200,000+ • Together $1,768-$2,100 Weekly • $1,500 Weekly Guarantee • 5,200-5,600 weekly team miles For Team Drivers • $8,000 sign on bonus • Paid $1,000 After First Dispatch • Paid $3,000 After 90 Days NEW DRIVER? • Paid Mentorship Available • Earn $0.61-$0.67 CPM Established Team Driver Job Benefits: • Run 5,200-5,600 team miles every week on dedicated freight • 100% Drop & Hook, No-Touch Freight • Get paid while you sleep as your partner keeps the truck moving • Home weekly or every other week (depending on domicile) • No forward-facing cameras • Average tractor age is less than 22 months with clean, safe, and well-maintained trailers • Pets welcome Team Driver Job Requirements: • Have a valid Class A CDL • 3 months experience • Be at least 21 years of age • Must have an established driving partner with at least 90 days of previous team driving experience or willing to match Covenant TransportWe believe trucking is about building partnerships: one driver, one customer, and one load at a time.. We do this by working with Hazmat teams or those looking to team who take pride in what they do. We offer you customers who have consistency in their freight and who require a carrier who's a step above the competition. In return, you'll receive all the tools you need to equip you for success. Why teams? Covenant Transport is a leader in the industry when it comes to teams. If you're ready to step up to Covenant, call us today.Call 855-528-3178 or Apply Online!
$107k/yr
Dedicated CDL A Truck Driver Running the Northwest for Tractor Supply
Crete Carrier Corporation · Centralia, WA
TOP PAYING TRUCK DRIVING JOBS: CRETE IS HIRING DRIVERS! WE VE RAISED PAY AGAIN! ;'> AT CRETE CARRIER, INDUSTRY LEADING PAY IS JUST THE BEGINNING Yes, you read that right for the second time this year, our drivers are getting a pay raise. We re implementing a $0.04 per mile raise for our Crete and Shaffer OTR (21-day) national fleets, with starting pay on those fleets now $0.68 $0.71 per mile, with the top 50% of those drivers now averaging over $107,000 annually. Since April 2026 alone, we ve given our over-the-road drivers a $0.07 per mile increase. Call a recruiter today to learn more. (855) 335-2857 DISCOVER THE DIFFERENCE Job Description: Crete Carrier offers CDL A Drivers a Dedicated Route in the Northwest for Tractor Supply Salary: $86,418 CPM: Starting pay $.61 to $.64 CPM Experience: One-year verifiable tractor trailer experience with a class A CDL DON'T WAIT, APPLY TODAY ➤ DRIVER APPLICATION Complete our short form application and a recruiter will follow up with you. ➤ CALL A DRIVER RECRUITER Call to speak to a recruiter and apply over the phone. (855) 335-2857