GRIEVANCE APPEALS COORDINATOR I
Randstad
Grievance & Appeals Coordinator
Are you a detail-oriented managed care professional looking for an exciting work-from-home opportunity in Iowa? We are seeking a self-motivated, organized Grievance & Appeals Coordinator to join our dynamic team! In this essential role, you will review incoming complaints, investigate complex authorization and claims concerns, and provide clear written resolutions to ensure high satisfaction for both members and providers. Working comfortably from your home.
$19.43 - $32.98 per hour
...resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Key Details: Must be authorized... ...on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the...SuggestedHourly payFull timePart timeH1bWork at officeRemote workFlexible hours- ...Job Title Job Description Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Contact customers to gather information and communicate disposition of case...SuggestedContract workApprenticeshipLocal areaRemote work
- ...Grievance & Appeals Coordinator Work Location: Detroit, MI 48226 Duration: 13 Months Job Type: Contract Work Type: Onsite Engagement Description: Process grievances and organization determinations, analyse, research, and provide comprehensive responses...SuggestedContract work
- ...Job Title Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Education/Experience: High school diploma or equivalent. Associate's degree preferred. 2+ years...Suggested
- ...Grievance & Appeals Coordinator Are you an analytical problem solver with a passion for healthcare managed care? We are seeking dedicated Grievance & Appeals Coordinators to join our growing, collaborative team! In this fully remote role, you will analyze and resolve...SuggestedRemote workWork from homeHome officeWeekend work
$23 per hour
...resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Education/Experience: High... ...files on individual appeals and grievances * May coordinate the Grievance and Appeals Committee * Support...Contract workTemporary workRemote work$22.99 per hour
...Are you an analytical problem solver with a passion for healthcare managed care? We are seeking dedicated Grievance & Appeals Coordinators to join our growing, collaborative team! In this fully remote role, you will analyze and resolve complex member and provider appeals...Hourly payPermanent employmentTemporary workWork experience placementWork at officeRemote workWork from homeHome officeShift workWeekend work$23.22 - $34.84 per hour
A leading health insurance provider is seeking a Grievance & Appeals Coordinator to work virtually full-time, with responsibilities including summarizing complaints, ensuring resolution of grievances, and documenting interactions. The ideal candidate should possess a high...Remote jobHourly payFull time$47.84k
Select how often (in days) to receive an alert: Appeals and Grievances Coordinator I Job Category: Customer Service Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13293 Salary Range: $47,840.00(Min.) -$57,062.00(Mid.) -$68,474.00(Max.) Established...Full timeRemote workShift workWeekend work- Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator, a W2 contract engagement with one of our largest clients in Detroit, MI! REMOTE!! Title: Grievance & Appeals Coordinator Location : Detroit, MI (Fully Remote) Duration: 12+ Months Education...Contract workRemote work
- ...requests by members and providers, pulls case files, meets with Grievance & Appeals Manager for further review and action, which may include... ..., and/or claim disputes. May attend State Fair Hearings. Coordinates and assists the Grievance & Appeals Manager in preparing for...Work experience placement
- Alameda Alliance in California is seeking a Grievance and Appeals Coordinator II to review, investigate, and process non-complex grievances for all lines of business. You will ensure timely, accurate written communications and maintain complete records in the electronic...
$22 - $23 per hour
Immediate need for a Grievance & Appeals Coordinator . This is a 12+ Month Contract opportunity with long-term potential and is US ( Remote ). Please review the job description below and contact me ASAP if you are interested. Job Diva ID: 26-07046 Pay Range: $22.00 -...Contract workWork at officeLocal areaImmediate startRemote work$23.22 - $34.84 per hour
...employment, unless an accommodation is granted as required by law. Shift hours: Mon, Tues, Sat, Sun 8:30 am - 7:00 pm CST Grievance & Appeals Coordinator Responsibilities Summarizes and presents essential information for the clinical specialist or medical/dental director...Full timeWork at officeLocal areaShift work$30.26 - $45.4 per hour
...as of their first day of employment. PRINCIPAL RESPONSIBILITIES Under general supervision of the Grievance and Appeals Supervisor, the Grievance and Appeals Coordinator II will review, investigate and process non-complex grievances for all lines of business and the completion...Hourly payLocal area- Banner Plans & Networks is seeking a Grievance and Appeals Coordinator to manage intake, review, investigation, and resolution of grievances, appeals, and provider disputes. This high-volume role requires precise documentation, adherence to timelines, and collaboration...Remote jobMonday to FridayShift work
- ...Job Title- Appeal and Grievance Coordinator Reviewer Location- Phoenix, AZ or Remote Duration- 03 Month+ Contarct Job Summary: Support medical and pharmacy appeals and grievances by researching cases, reviewing medical records, claims, coverage guidelines...Work at officeRemote work
- ...operating margin. We operate across Medicare Advantage, Medicaid, Commercial, ASO, and ACA lines of business. As an Appeals & Grievances (A&G) Coordinator, you will help support the intake, review, and resolution of member and provider appeals and grievances while...
- ...vendor sites for authorizations and reviewing notes -Reviewing appeal letters to determine what the provider is appealing -Responsible... ...and the internal appeal process Skills: ~ Appeals& Grievance, Medicaid, Medicare Education/Experience: At least 1 year...Remote job
- ...Job Description Job Description Imperial is seeking an Appeals and Grievances coordinator to help with the exchange side of Medical. Experienced and familiar with NCQA regulations. Responsible for reviewing and resolving member complaints and appeals and communicating...
- ...Job Description Job Description Job Title: Grievance & Appeals Coordinator I Location: Remote in Indiana (**MUST be a resident of Indiana) Pay: $22 hourly - *weekly pay Position Purpose: Analyze and resolve verbal and written claims and authorization appeals...Hourly payWeekly payRemote work
$22.99 per hour
...resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Education/Experience: High school... ...on individual appeals and grievances • May coordinate the Grievance and Appeals Committee • Support the...Hourly payPermanent employmentTemporary workWork experience placementShift work$19.76 per hour
...care professional looking for an exciting work-from-home opportunity in Iowa? We are seeking a self-motivated, organized Grievance & Appeals Coordinator to join our dynamic team! In this essential role, you will review incoming complaints, investigate complex...Hourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeHome officeMonday to FridayShift workWeekend work$30.09 per hour
...responsibility to better the public good. We are currently seeking a Grievance Coordinator who has a passion for providing the highest quality care in... ...reports/responses; monitor action plans; coordinate appeals with management to resolution. Qualifications :...Hourly payContract workWork at office- ...We are currently seeking a " Appeals Coordinator" for a Contract role with one of our clients in Phoenix, AZ. Please apply if you are interested... ...Coordinate with enrolled members and providers submitting grievances and appeals to obtain additional information or...Contract workWork at office
- ...Investigating and responding to medical, pharmacy, and dental grievances, the full-time remote Appeal Coordinator I will manage complaints, appeals, and inquiries while ensuring compliance with regulatory requirements. Key responsibilities Research and review grievances...Full timeRemote work
- ...Detail-oriented and experienced, the full-time remote Appeals Coordinator II will manage and resolve appeals, grievances, and provider complaints while ensuring compliance with client, state, and regulatory requirements. Key Responsibilities Prepare and distribute case...Full timeRemote work
- ...redetermination requests. Review and respond to complaints, grievances and appeals within the stated time frame for each request. Certify... ...for Medicare and Medicaid Services and TRICARE. Coordinates with pertinent departments to effectuate resolution resulting...
- Harbor Health is seeking an experienced Appeals & Grievances Director to lead the health plan's appeals and grievances function. In this role... ...Medical Directors on clinical appeal reviews, including coordination of peer-to-peer and independent review organization (IRO) referrals...
- Harbor Health seeks an experienced Appeals & Grievances Director to lead the health plan's appeals and grievances function across Texas markets, ensuring CMS/TDI/NCQA compliance and timely resolutions. You will manage a team, collaborate with Compliance, Legal, Claims,...
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