Remote Grievances & Appeals Coordinator
BCforward
- Remote job
BCforward in Columbus, OH is seeking a Grievance & Appeals Coordinator I to analyze and resolve provider and member appeals, with training conducted remotely and potential sessions at the Easton office. The role requires a high school diploma (associate’s preferred) and 2+ years in grievance/appeals within managed care. Responsibilities include preparing response letters, maintaining case files, coordinating committee activities, and supporting HEDIS/data entry tasks in a fast-paced, #J-18808-Ljbffr BCforward
$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- ...Job Title Job Description Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established... ...applying contract and regulatory provisions. This is a Remote Role Experience Experience handling a large load of...Remote workContract workApprenticeshipLocal area
- ...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:...Remote workContract work
$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 -...Remote workContract workWork at officeLocal areaImmediate start$19.43 - $32.98 per hour
## Grievance & Appeals Coordinator IApply: Remote-CA: Full time: Posted Today: End Date: September 20, 2026 (2 days left to apply): 1659812**Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution...Remote workHourly payFull timePart timeH1bWork at officeFlexible hours- Banner Plans & Networks is seeking a Grievance and Appeals Coordinator to manage intake, review, investigation, and resolution of grievances, appeals... ...ensure compliant, timely responses. Position primarily remote with Arizona residency required for consideration; standard...Remote jobMonday to FridayShift work
$8 - $23 per hour
Position: Grievance & Appeals Coordinator I Business Unit: Buckeye HP Location: Columbus, Ohio Duration: 06 Months (Possible Extension) Work Type: Remote - Training might take place at the Easton office. Shift: 8am - 5pm Pay Rate: $23/hr Position Purpose: Analyze and resolve...Remote workWork at officeShift work$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, 90... ...requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in...Remote workFull timeShift workWeekend work$22 per hour
Our client is seeking a detail-oriented, high-performing Grievance & Appeals Coordinator to join their dedicated regulatory compliance team. In this... ..., and CMS guidelines. Their team operates in a fully remote, in the state of Georgia, in a collaborative, and...Remote workHourly payPermanent employmentTemporary workWork experience placementShift work$22.49 per hour
As a Grievance and Appeals Coordinator, you will spend your day acknowledging and resolving member appeals within strict regulatory turnaround times... ...and health plan operations. Participate actively in a remote, collaborative environment (Note: Cameras are required for...Remote workHourly payPermanent employmentTemporary workWork experience placementShift work$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...Remote workContract work$23.22 - $34.84 per hour
...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$77.27k - $123.63k
...achieve that purpose. Job Summary The Supervisor, Appeals and Grievances is responsible for direct supervision and support of the... ...requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical...Remote workFull timeWork at officeShift workWeekend work- 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...
$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- ...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
- ...Job Overview Akkodis is partnering with a local Health Plan who is hiring a Grievance Coordinator for a temporary 3-month contract. Terms ~ Temporary 3-month contract ~ Remote (must pick up equipment) ~$28/hr W2 Qualifications ~3+ years’ experience as...Remote workTemporary workLocal area
$34.42 - $67.6 per hour
...Join to apply for the Appeals and Letters Coordinator Remote role at Optum 1 day ago Be among the first 25 applicants Join to apply for the Appeals and Letters Coordinator Remote role at Optum Optum is a global organization that delivers care, aided by technology...Remote workHourly payMinimum wageFull timeContract workPart timeWork experience placementWork at officeLocal areaShift workWeekend work$248.5k - $373k
.... Growing together.Work at home!You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication...Remote workMinimum wageWork experience placementLocal areaWork from home- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote work
- ...Physical Health Appeals Support Specialist This is a M-F shift 40 hours per week, with... ...3rd weekend - assigned rotation. Fully remote opportunity available to applicants in any... ...with automated systems. Experience coordinating member needs, providing assistance to members...Remote workShift workWeekend 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$28.2 per hour
...We are seeking a detail-oriented and experienced Appeals Coordinator II to join our remote team. This role is ideal for a healthcare professional... ...play a critical role in managing and resolving appeals, grievances, and provider complaints while ensuring compliance with...Remote workHourly payFull timeWork at office- ...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
$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- ...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...
- ...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...
- ...California is seeking an entry-level Analyst in the Enterprise Grievance & Appeals Department to review, analyze and process non-complex... ...guidance to research medical records, draft clear decisions, and coordinate with clinical staff, while adhering to accreditation...Remote job
$40k - $52.3k
...Become a valued member of Humana's Internal Review Team as a Grievances & Appeals Representative 2, where you will play a critical role in... ...experience with Medicare Additional Information Workstyle: remote, work from home Work Location: must reside in Central or...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayShift workWeekend work- ...entry-level analyst in the Enterprise Grievance & Appeals Department to review and process non-complex... ..., draft clear determinations, and coordinate with medical staff as needed, while adhering to URAC and NCQA standards. Remote work is allowed with some onsite requirements...Remote jobContract work
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