Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Medicare & Medicaid Grievance & Appeals Specialist

Neighborhood Health Plan of Rhode Island

Neighborhood Health Plan of Rhode Island is seeking a Grievance and Appeals Coordinator to manage intake of grievances and appeals, and to mail correspondences to members and providers. The role supports GAU through tracking cases and ensuring timely resolutions. The Coordinator monitors timelines, coordinates with external appeal agencies, and maintains secure, organized records while communicating with internal and external customers. #J-18808-Ljbffr Neighborhood Health Plan of Rhode Island

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Medicare & Medicaid Grievance & Appeals Specialist in Smithfield, RI vacancy
  • Brown University Health is seeking a Denials Management Specialist in Rhode Island. The role focuses on maximizing reimbursement by analyzing...  ...initiatives related to denials reduction. You will handle appeals with third-party payers, coordinate with hospital departments,... 
    Suggested
    Remote job

    Brown University Health

    Providence, RI
    4 days ago
  •  ...Asset Protection SpecialistPosition Purpose:The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store/multiple stores. They utilize... 
    Suggested

    Home Depot

    Smithfield, RI
    5 days ago
  •  ...regulatory compliance; billing and payments; complaints and appeals; policies and proceduresSupport Provider Relations team with...  ...organization or a health care related organization (e.g. HMO, Medicaid, Medicare)Intermediate to Advanced skills in Microsoft Office (Word,... 
    Suggested
    Contract work
    Work at office

    Neighborhood Health Plan of Rhode Island

    Smithfield, RI
    5 days ago
  • $20 per hour

     ...Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store/multiple stores. They utilize tools... 
    Suggested
    Local area

    Home Depot

    Smithfield, RI
    4 days ago
  •  ..., living out your faith means using your gifts to bring hope and make a lasting impact. As a Homebuilders Family Intervention Specialist, you’ll support families at risk of separation due to challenges like neglect, substance use, or conflict. Through the Homebuilders... 
    Suggested
    Full time
    Contract work
    Live out
    Work at office
    Local area
    Flexible hours
    Afternoon shift

    Bethany Christian Services

    Lincoln, RI
    2 days ago
  •  ...Trading Specialist As a Trading Specialist, you will support investors with a broad range of trading, investment, and account-related needs while helping deepen client relationships! This role involves guiding clients through market activity, processing complex securities... 
    Full time

    Fidelity Communications

    Smithfield, RI
    2 days ago
  • A leading provider of diagnostic instrumentation is seeking an Accounting Specialist for a 6-month temporary role in Smithfield, RI. Responsibilities include processing vendor payments, handling accounts receivable, and maintaining financial records. The ideal candidate... 
    Full time
    Temporary work

    Alcor Scientific

    Smithfield, RI
    3 days ago
  • $50k

     ...benefit investigations when necessary. Identify and communicate patients' plan benefit coverage, including any prior authorization, appeal, tier exception, or formulary exclusion requirements. Utilize electronic resources to obtain benefit coverage outcomes, and if... 
    Temporary work
    Work at office
    Immediate start
    Monday to Friday
    Flexible hours
    Shift work

    Valeris

    Providence, RI
    2 days ago
  • $23.11 - $38.16 per hour

     ...re-design, root cause analysis, metric/report development, and special projects as it relates to denials management. Executes the appeal process by receiving, assessing, documenting, tracking, analyzing, responding to, and and/or resolving appeals with third-party payers... 
    Full time
    Part time
    Work at office
    Remote work
    Shift work

    Brown University Health

    Providence, RI
    4 days ago
  • Michaels is seeking a friendly store associate for our Smithfield, RI location to assist customers, merchandise frames, and handle cash register duties. You will help customers find products, perform framing tasks, and maintain a clean, organized shop floor. The role involves...
    Night shift
    Weekend work

    Michaels

    Smithfield, RI
    2 days ago
  • Silgan Dispensing in Slatersville, RI seeks a skilled materials technician to oversee raw materials, colorants, and additives, ensure resin compliance, and prepare color concentrates for molding. A forklift operator certification is required. You will inspect incoming materials...

    Silgan Dispensing

    Slatersville, RI
    4 days ago
  •  ...Elwyn is seeking an Adult Community Clinical Service (ACCS) Peer Specialist . As the Peer Specialist, you are a fully integrated team...  ...Supports the clients with understanding Human Rights and the grievance or complaint process Practices a Housing First approach Awareness... 
    Local area
    Immediate start
    Flexible hours

    Elwyn

    Cranston, RI
    1 day ago
  • Smithfield Public Schools in Rhode Island seeks a Business Office Specialist for Purchasing & Accounts Payable to manage district purchasing, bill verification, and accounts payable with strict adherence to policies and state regulations. The role requires strong financial... 
    Work at office
    Immediate start

    Smithfield

    Smithfield, RI
    4 days ago
  • Auto Club Enterprises in Rhode Island is seeking a Claims Subrogation Specialist - Outbound to manage low-complexity carrier-to-carrier cases and recover payments for policyholders. You’ll identify recovery opportunities, apply negligence rules, and negotiate settlements... 

    AAA

    Lincoln, RI
    2 days ago
  • $71.1k - $97.8k

     ...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand... 
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office

    Humana Inc

    Providence, RI
    5 days ago
  •  ...for this position.Job Description:NOTE: Fidelity will not provide immigration sponsorship for this positionThe RoleAs a Trading Specialist, you will support investors with a broad range of trading, investment, and account-related needs while helping deepen client relationships... 
    Full time

    Fidelity Investments

    Smithfield, RI
    5 days ago
  •  ...Shipping Receiving SpecialistJoin our fast-paced manufacturing and warehouse environment as a Shipping Receiving Specialist. We are looking for a high-energy individual to manage our logistics flow, operate a forklift with precision, and ensure our manufacturing and warehouse... 
    Shift work

    Manufacturing Company

    Providence, RI
    1 day ago
  •  ...Release Of Information SpecialistFull-time | 40 Hours Johnston, RIGENERAL RESPONSIBILITY:The Release of Information Specialists retrieves and processes all medical records request for Government Agencies, State Agencies, Insurance Companies, Court Order Subpoenas, Attorney... 
    Work at office

    Tri-County Community Action Agency Inc

    Johnston, RI
    4 days ago
  • $121k - $198k

     ...wording. Participate, as directed, in support of Staff Underwriting objectives. This position may be filled at either the Underwriting Specialist Staff or Sr. Underwriting Specialist Staff level, based on the selected candidate’s skills and experience. Qualifications:... 
    Full time
    Contract work
    Work at office
    Worldwide
    Flexible hours

    FM

    Johnston, RI
    12 days ago
  •  ...Parts SpecialistThe Parts Specialist will provide all retail and installer customers with a high level of service. This position will also support store management in the accomplishment of assigned tasks. Bilingual candidates encouraged to apply.Essential Job FunctionsFollow... 
    Local area
    Flexible hours

    O'Reilly Auto Parts

    Providence, RI
    5 days ago
  •  ...potential.Under the general supervision of the behavioral coordinator and in collaboration with the classroom team, classroom behavior specialists are responsible for assisting the special education teacher in implementing effective academic, behavioral, and social-emotional... 
    Daily paid
    3 days per week

    The City of Providence

    Cumberland, RI
    2 days ago
  •  ...Behavioral Health Specialist IUnder the direction of Clinical Nurse Manager (Inpatient)/Program Director (Partial) and Unit Charge RN, the Behavioral Health Specialist I (BHS I) is responsible for providing care and safety to children and adolescents as a member of the... 
    Shift work

    Brown University Health

    East Providence, RI
    3 days ago
  • $19.97 - $32.96 per hour

     ...Under the direction of Clinical Nurse Manager (Inpatient)/Program Director (Partial) and Unit Charge RN, the Behavioral Health Specialist II (BHS II) is responsible for providing care and safety to children and adolescents as a member of the interdisciplinary treatment... 
    Immediate start
    Shift work

    Brown Health

    East Providence, RI
    2 days ago
  •  ...Job Summary This position is eligible for $2,000 retention bonus. The Peer Recovery Specialist provides peer support services, serves as a client advocate, and provides clients with written and experiential information and resources to promote recovery. They perform... 
    Work at office

    Care New England

    Providence, RI
    4 days ago
  • CharterCARE Health Partners is seeking a Noninvasive Vascular Laboratory Tech to perform clinical examinations and other assigned tasks as specified by the Lead Vascular Technologist. Candidates must have an appropriate credential in vascular testing and successful completion...

    CharterCARE Health Partners

    North Providence, RI
    1 day ago
  •  ...Description Job Summary Behavioral Health Specialist is held by an LICSW or master’s prepared professional with licensure for mental health counseling. Provides assessment, diagnosis, and therapeutic intervention for participants of the PACE program. Reports to... 

    PACE Organization of Rhode Island

    East Providence, RI
    2 days ago
  • $136.24k

    Company Overview Check out this video and find out why our team loves to work here! ( Join Us! CDM Smith – where amazing career journeys unfold. Imagine a place committed to offering an unmatched employee experience. Where you work on projects that are meaningful...
    Contract work
    Work experience placement
    For subcontractor
    H1b

    CDM Smith

    Pawtucket, RI
    1 day ago
  • $750 per week

     ...Job Title Peer Recovery Specialist Location Mathewson Street UMC Travel Required no Level/Salary Range $750/week Position Type part-time Supervisor Director of Communications and Outreach Hours per week 30... 
    Part time
    2 days per week
    1 day per week

    The City of Providence

    Providence, RI
    1 day ago
  • Stericycle is now part ofWM. To learn more about WM's acquisition of Stericycle, CLICK HEREto read the press release.Monday - Friday 10:00am - 6:30pmI. Job SummaryThe Shredding Specialist is responsible for receiving, segregating and loading was
    Monday to Friday

    Waste Management , Inc.

    Pawtucket, RI
    1 day ago
  • $16.25 - $17.25 per hour

     ...development culture.20% associate discount on all Ollie's purchases.Vast array of voluntary benefits.Position Overview:The Front End Specialist assists customers and helps to maintain the store appearance. They are responsible for all aspects of customer service,... 
    Hourly pay
    Minimum wage
    Full time
    Part time
    Weekend work
    Afternoon shift

    Ollie's Bargain Outlet, Inc.

    Woonsocket, RI
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Medicare & Medicaid Grievance & Appeals Specialist. Be the first to apply!