Grievance Appeals Coordinator I
Randstad
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 grievance or appeals, claims or related managed care experience. Oral, written, and problem solving skills. Gather, analyze and report verbal and written member and provider complaints.
$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...SuggestedHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work$22.84 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...SuggestedHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work$65k - $75k
...the United States, come join us! About the Role As an Appeals and Grievances Specialist, you'll own the end-to-end handling of member and provider appeals and grievances, investigating cases, coordinating with internal teams, and delivering clear, well-reasoned resolutions...Suggested- ...Insurance Claims CoordinatorThe Insurance Coordinator is responsible for working claims that have been denied by insurance carriers, including processing appeals and providing any additional information necessary to obtain reimbursement. After training this will be a fully...SuggestedFull timeRemote work
- ...Job Description Job Description Function: The Intake Coordinator will work cooperatively with Program staff to maintain a quality... ...to maintain a full capacity at all times. Provide a positive, appealing, and uplifting first impression of the ARC program. Maintain a...SuggestedFull timeWork at officeImmediate startAfternoon shift
- Position Summary The Title IX Coordinator provides leadership for the University\'s efforts to foster a safe, equitable, and inclusive learning... .... Oversee investigations, informal resolutions, hearings, appeals, and case resolutions consistent with institutional policy and...Temporary workVisa sponsorshipWork visaWeekend work
- Equitas Health is seeking a Prior Authorization Specialist to manage prior authorizations, third-party appeals, and related payer issues across its medical centers in Ohio. You will work with pharmacies, CoverMyMeds, the EHR, and health center teams to ensure timely authorization...
$22 - $25 per hour
...Join Hilscher-Clarke as a full-time Materials Coordinator at our office/shop in Powell, Ohio , where we're more than a team – we're more like a family. At Hilscher-Clarke , our people embody our core values of Faith, Integrity, Respect, Selflessness, and Teamwork...Hourly payFull timeWork at officeLocal areaRelocation- DELIVERY COORDINATORGannett Publishing Services - USA TODAY COColumbus, OHWe are recruiting for a full-time, Delivery Coordinator in Columbus, OH. This key individual provides general support for the Circulation Distribution department by handling many of the day-to-day...Full timeFor contractors
- Join our Worthington Steel HR team as a People Center Coordinator. This HR Shared Services role will provide exemplary HR operational customer service to all employees and families, candidates & HR Business Partners by responding to telephonic and/or electronic first-level...
$14.5 - $15 per hour
...on merchandising and processing principles Ensures merchandise is properly tagged, hung, secured, and coded Communicates with the Coordinator on Duty to ensure efficient flow of goods to sales floor Ensures Associates complete tasks and activities according to store plan...Hourly payTemporary workLocal areaHome officeFlexible hoursNight shift$62.2k - $105.7k
...overseeing the entire lifecycle of IT incidents to ensure minimal disruption to mission-critical systems. Responsibilities include coordinating technical teams, managing incident response, and conducting post-incident reviews to enhance service management processes....$17.64 - $20 per hour
...task effectively. Ability to communicate effectively via phone using technology software electronically. If participating in coordination, delivery, function testing or downloads of respiratory equipment, all applicable competency testing must be completed prior to...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeFlexible hoursNight shift- ...The Incident Response Coordinator, Senior leads tactical coordination of complex IT incidents to minimize mission impact. The role facilitates disciplined war rooms, enforces cadence and runbooks, drives cross-team collaboration, and provides executive-ready communications...Contract workWork experience placementWork at officeShift work
- ...Instrumentation Coordinator - University Hospital - Sterile SupplyDepartment: University Hospital | Central Sterile SupplyJob Description Scope of Position: An Instrumentation Coordinator works to prepare, sterilize, install, assemble, and or clean all clinic or healthcare...
- ...selling services, inform guests of seasonal specials and events, maintaining a wait list for services, etc. Oversee the planning, coordination and execution of a complete and accurate physical inventory as required. Work with Guest Experience Manager to aid in...Temporary workSeasonal workLive inFlexible hoursAfternoon shift
- ...Delivery Coordinator Gannett Publishing Services - USA TODAY CO Columbus, OH We are recruiting for a full-time, Delivery Coordinator in Columbus, OH. This key individual provides general support for the Circulation Distribution department by handling many of the...Full timeFor contractorsLocal area
$26.19 - $32.75 per hour
...LTSS Service Coordinator (Case Manager) Hiring statewide across Ohio. Must reside in the state of Ohio. Location... ...Services, Law Enforcement). Assists and participates in appeal or fair hearings, member grievances, appeals, and state audits. Minimum Requirements:...Temporary workWork experience placementWork at officeLocal area1 day per week- ...Live The Mission The RN MDS Coordinator coordinates and assists with completion and submission of accurate and timely interdisciplinary MDS Assessments, CAAs, and Care Plans according to CMS RAI Manual Regulations and in accordance with all applicable laws, regulations...Work at office
- ...The Incident Response Coordinator supports the end‑to‑end response to IT incidents and service disruptions, helping restore normal operations quickly and reduce impact on mission‑critical systems. The role serves as the central coordination point for incident response...Contract workWork experience placementWork at officeShift work
- ...Virtual Trip Coordinator Columbus, Ohio, United States About the Job Virtual Trip Coordinator As a Virtual Trip Coordinator, you will play a key role in supporting travelers from the moment they begin planning to the moment they return home. Your goal is to ensure...Remote workFlexible hours
$22 per hour
...Scheduling Coordinator (Full-Time) Compassionate Caregivers Home Care | Columbus, Ohio Join the first ACHC-accredited home care agency in Columbus, Ohio, and become part of a team where excellence isn't just expected—it's our standard. We are seeking our final puzzle piece...Hourly payFull timeWork at officeMonday to FridayShift work- ...Job Description Job Description We’re looking for a friendly, organized, and reliable Hygiene Coordinator to join our team! This is a part-time position with consistent morning hours in a supportive dental practice. Schedule: 8:00 AM - 1:00 PM Monday/Thursday...Part timeWork at officeDay shift
$14.5 - $15 per hour
...merchandising and processing principles Ensures merchandise is properly tagged, hung, secured, and coded Communicates with the Coordinator on Duty to ensure efficient flow of goods to sales floor Ensures Associates complete tasks and activities according to store...Hourly payTemporary workLocal areaHome officeFlexible hoursNight shift$57.96k
...Fiscal CoordinatorCompensation Type: SalariedCompensation: $57,960.00The Fiscal Coordinator oversees daily cashiering operations and ensures the accurate and timely processing of student payments and account transactions. This role provides guidance to staff, supports...Full timeContract workPart time- ...Surgical Coordinator Deliver excellent patient-centered care by ensuring the financial and surgical communication process is complete for patients having surgical procedures. This position will require flexibility and a broad knowledge base, with ability to perform...
- ...A leading medical center in Columbus, Ohio is seeking a Nursing Program Coordinator for its Neurovascular Stroke Center. The role involves directing stroke care, ensuring quality compliance, and leading community outreach initiatives. Candidates must have a bachelor’s...
- ...Position Overview The Prevention Coordinator (PC) will serve as the Substance Abuse Prevention/Suicide Prevention Trainer and Case Manager within their assigned State Army National Guard. The PC will report directly to the Risk Reduction Coordinator (RRC). Responsibilities...Interim roleMonday to Friday
$16.05 - $25.15 per hour
...service. It is the expectation of each employee to maintain a positive attitude and a willingness to be a team player. The Scanning Coordinator is responsible for maintaining price files, shelf tag accuracy, and signage for our stores. They oversee item pricing and...Weekly payFull timePart time- ...Hospitality Coordinator – Join Our Team and Deliver Exceptional Guest ExperiencesAre you passionate about hospitality and customer service? We are looking for a dedicated Hospitality Coordinator to join our team and ensure our guests have a seamless, memorable experience...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Grievance Appeals Coordinator I. Be the first to apply!
- returns coordinator Columbus, OH
- reimbursement coordinator Columbus, OH
- change management coordinator Columbus, OH
- workforce coordinator Columbus, OH
- fashion coordinator Columbus, OH
- art coordinator Columbus, OH
- science coordinator Columbus, OH
- continuous improvement coordinator Columbus, OH
- workflow coordinator Columbus, OH
- building coordinator Columbus, OH



