Partially Remote Medicare Grievances & Appeals Coordinator
SCAN
SCAN is seeking a GAD Coordinator to lead a team serving members with Medicare Part C and D grievances. You will ensure inquiries are addressed, maintain records, and help identify service improvements. A background in grievances and strong customer service are essential. As a part of a values-driven nonprofit, you will operate in a partially remote setting, collaborate across departments, and support SCAN's mission to improve care for older adults.
#J-18808-Ljbffr- ...Managing and coordinating grievance and appeals processes, the full-time Grievance & Appeals Coordinator will review incoming cases, ensure compliance... ...with internal teams while working in a hybrid remote environment. Key responsibilities Manage and coordinate...Remote workFull timeWork at office
- ...Job Title: Grievance & Appeals Coordinator I - 210056 Address: Columbus, OH Job Description: Coordinate and manage patient grievances and appeals... ...with a Recruiter or Staffing Manager! Critical Information: Remote Shift: Standard business hours Ensure compliance with...Remote workFull timeShift 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 workHourly payFull time$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... ...requirements Familiarity with Medicare or Medicaid guidelines Strong communication...Remote workContract workWork at officeLocal areaImmediate start$22.99 per hour
...members? We are seeking a dedicated Grievance & Appeals Coordinator I to join a collaborative, tight-knit... ...compliance standards. Operating from a remote setup in Ohio, you will process... ...and a passion for supporting Medicaid, Medicare, or Marketplace members, this contract...Remote workHourly payPermanent employmentContract workTemporary workWork experience placementWork at officeShift work- Medica is seeking an Appeals & Grievances Intake Coordinator II to handle intake, case entry, and routing for member and provider appeals and grievances. Responsibilities include applying guidelines to classify cases, entering data accurately, and routing to the correct...Remote job
- ...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...Remote workHourly payWeekly pay
- Point32Health is seeking an Appeals and Grievance Coordinator to support the A&G Analyst by handling mail, organizing cases, and ensuring timely processing in accordance with state and federal regulations. The role requires 1-2 years in health care customer service and...Remote job
- A staffing solutions company is seeking a Grievance & Appeals Coordinator for a fully remote position in Detroit, MI. This role involves processing appeals, grievances, and inquiries while maintaining accurate documentation and effective communication. The ideal candidate...Remote jobContract work
- Centene Corp. is hiring a Grievance & Appeals Coordinator I to analyze and resolve verbal and written claims and appeals from providers and pursue resolutions of member grievances. The role is remote within California, with duties including preparing response letters, maintaining...Remote job
- Medasource is hiring a G&A Coordinator to support a high-volume Grievances & Appeals team in the United States (Arizona residents only). This fully remote role focuses on member and provider appeals, grievances, and claim disputes, requiring 3-4+ years of relevant experience...Remote job
- ...plan serving communities across Minnesota and beyond. The Appeals & Grievances Intake Coordinator II performs intake, case entry, and routing to support... ..., document accurately, and ensure compliance. This remote role requires residing in Medica-eligible states and contributes...Remote job
- 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...Remote workContract work
$48.37k - $72.56k
...saving them. Together. This position is a remote position. Candidates must be willing to work weekends. The CTM Coordinator, Appeals & Grievances manages the day-to-day intake,... ...accordance with plan policy and Centers for Medicare & Medicaid Services (CMS) guidelines....Remote job$41.3k - $70.8k
...community of connected care, where coordinated, quality service is the... ...member feels valued. The Appeals & Grievances Intake Coordinator II... ...management platform Knowledge of Medicare, Medicaid, and commercial... ...This position is a Remote role. To be eligible for consideration...Remote workWork experience placement- ProPivotal in Hingham, MA is seeking a Medicare Advantage Grievance Coordinator. This on-site role involves processing grievances, appeals, or member complaints within a structured, compliant environment. You will work under CMS guidelines, maintain precise case notes,...Hourly payWeekly pay
- ...functions that currently consume payer 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...
$30.51 - $32.61 per hour
...NOW HIRING: 100% Grievance & Appeals Coordinator | 100% Remote | Interviewing Immediately | Immediate Openings 100% Remote | Interviewing Immediately... ...Investigation Knowledge of Managed Care, Medi-Cal, Medicare, or Health Plan Operations Strong written and verbal...Remote workContract workTemporary workImmediate start$30.51 - $32.61 per hour
...Urgently hiring a REMOTE Grievances and Appeals coordinator that MUST sit out of SLO, Santa Barbara or Ventura County. Must have: At least 2 years of grievance and appeals experience in a managed care setting MUST sit out of San Luis Obispo, Santa Barbara...Remote workContract workTemporary workWork at officeLocal areaImmediate start- ...Working remotely in a full-time capacity, the Appeals Coordinator will manage the tracking and trending of grievances, appeals, and complaints within the Member Services Department, acting... ...experience Knowledge of MediCal and Medicare Managed Care Plans Ability to type 4...Remote workFull timeWork at office
- ...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...Work experience placement
$22 per hour
We are seeking an Appeals & Grievances Coordinator to join The Hollister Group, a leading women-owned staffing firm in the Boston area. This role is remote with a compensation of $22/hr . Responsibilities: Coordinate appeals and grievances activities Track all member appeals...Remote workContract work- ...Point32Health, Inc. is seeking an Appeals and Grievance Coordinator to manage day-to-day tasks within the A&G department. You will process mail, assign cases, and support analysts while ensuring compliance with regulatory timelines. The role requires 1-2 years of relevant...Remote workWork from home
$21.32 - $31.98 per hour
...to our members, partners, colleagues and communities. Learn more about who we are at Point32Health. Job Summary The Appeals and Grievance (A&G) Coordinator is responsible, per State and Federal regulations, for assisting with all operational aspects of the Appeals and...Work at officeWork from homeFlexible hoursAfternoon shift- ...Humana Inc. is seeking a Corporate Medical Director to provide clinical interpretation and lead grievance/appeal reviews across Medicare, Medicaid, and Commercial lines. You will apply independent judgment on highly complex cases and support cross-functional teams to...Remote work
- ...Grievance & Appeals Coordinator I Are you an empathetic, detail-oriented professional looking to make a meaningful impact on the lives of healthcare members? We are seeking a dedicated Grievance & Appeals Coordinator I to join a collaborative, tight-knit team in Ohio...
$246.1k - $344.2k
...reviews of medical records for appeals decisions. The Corporate... ...oversee clinical reviews of grievance and appeal cases for assigned... ...and appeal matters involving Medicare, Medicaid, and Commercial products... ...Work Style: Fully remote living in the USA. Occasional...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayWeekend 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- The Appeals and Grievance (A&G) Coordinator at Point32Health is responsible for assisting with operational aspects of the A&G assignment process in line with state and federal rules. Responsibilities include processing mail, coordinating with vendors, tracking cases, and...
$21.16 - $38.37 per hour
...Join to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at Molina Healthcare . This position is remote and will be working Pacific Standard hours. Highly Qualified... ...processing experience, including coordination of benefits (COB), subrogation and...Remote workHourly payFull timeContract workWork experience placementWork at office
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