Grievance Coordinator
Virtual Vocations Inc
Working remotely in a full-time capacity, the Grievance Coordinator will review and investigate member complaints within the Medicare Grievances Program, ensuring resolution in accordance with organizational and regulatory guidelines. Key responsibilities Conduct thorough investigations into member complaints and achieve resolutions through action and education Perform root cause analysis on escalated grievances to identify underlying issues Document investigations and maintain accurate records of actions taken and resolutions provided Required qualifications Bachelor's degree or equivalent experience 1+ years of related work experience or relevant knowledge and skills Ability to maintain high ethical standards and demonstrate good critical thinking Strong investigatory skills with the ability to assess risk and respond appropriately Organizational skills to prioritize tasks effectively in a high-volume environment
- ...Grievance Coordinator Benefits Information Full-time employees will enjoy a competitive benefits package with options for you and your family including: Paid Time Off Paid Holidays 401(k) Matching Health Insurance Vision Insurance Life Insurance...SuggestedFull timeContract workWorldwideFlexible hours
$48.32k - $82.39k
...Analyze and resolve verbal and written claims and authorization grievance/appeals from providers and members. Resolve all State inquires... ...Pharmacy Services is hiring a remote Grievance & Appeals Coordinator II. The ideal candidate will have experience investigating and...SuggestedHourly payFull timePart timeWork at officeRemote workFlexible hours$41.89k - $60.65k
...the people and communities we serve. The Job The GAD Coordinator coordinates the work of a team of Member Services Representatives... ...Your Qualifications ~0-3 years of related experience in Grievances and Appeals. ~ High school diploma or equivalent experience...SuggestedHourly payFull timeFor contractorsWork at officeRemote workMonday to Friday- ...authorization appeals from providers and pursue resolution of formal grievances from members. Key Details: This is a remote position... ...Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-performance...SuggestedFull timePart timeWork at officeRemote workFlexible hours
$37.27k - $57.78k
...solution! Job Description Summary The Appeals and Grievances (A&G) team is responsible for managing all aspects of the appeals... ..., notification, and compliance. The Appeals and Grievances Coordinator I serves as a key member of the A&G team, processing appeal...SuggestedFull timeLocal areaRemote workMonday to FridayFlexible hoursNight shift- ...retirement accounts with company match ~ Employee Referral Bonus Program Position Summary : The Appeals and Grievances Coordinator is responsible for the timely and accurate intake, research, documentation, processing, tracking, and resolution of...Full timeTemporary workWork experience placementWork at officeLocal areaRemote workFlexible hoursWeekend work
- ...Analyzing and resolving grievances and appeals, the full-time remote Grievance & Appeals Coordinator II will handle member and provider complaints while ensuring compliance with federal, state, and organizational regulations. Key responsibilities Review and process grievances...Full timeRemote work
$18 per hour
...access supportive services, and overcome barriers to secure second chances in the community. Position Summary The Grievance Coordinator oversees the grievance process and ensures that both informal and formal grievance processes are administered in compliance...Hourly payContract work- Metropolitan Jewish Health System, Inc. seeks an A&G Coordinator to investigate and respond to member and provider appeals and grievances in line with Contract Benefits, CMS and DOH rules. You will determine service types, investigate, and document cases, ensuring timely...Contract work
$40.95k - $63.88k
...Offender Grievance Coordinator: Sussex I State Prison Title: Offender Grievance Coordinator: Sussex I State Prison #00017 State Role Title: Direct Service Associate III Hiring Range: $40,946.00 - $63,877.00 Pay Band: 3 Agency: Dept of Corr - Central Admin...Local areaTrial period- 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
- ...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 ensuring...
$30.09 per hour
...sense of service, high standards of professionalism and a responsibility to better the public good. We are currently seeking a Grievance Coordinator who has a passion for providing the highest quality care in an institutional, secure setting. Come join a team that is...Hourly payContract workWork at office- Job Summary: SafeRide Health is seeking an experienced Complaints and Grievance Coordinator responsible for processing complaints and grievances, consisting of member grievances, appeals, and provider disputes. This role ensures that cases are resolved by client-specific...
$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- 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 a Service Representative...Temporary workLocal areaRemote 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
$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- The Grievance and Appeals Coordinator (Coordinator) position is responsible for intake of the appeal and complaint/grievance. The Coordinator is responsible for mailing the Grievance and Appeals Units (GAU) correspondences to members and providers. The Coordinator supports...Work experience placementWork at office
- MJHS seeks an Appeals & Grievances Coordinator to manage non-clinical aspects of member and provider appeals and grievances, ensuring accurate intake, validation, and timely processing in compliance with CMS, DOH, and Elderplan policies. The role includes case setup, triage...
- Title: Offender Grievance Coordinator: Sussex I State Prison #00017 State Role Title: Direct Service Associate III Hiring Range: $40,946.00 - $63,877.00 Pay Band: 3 Agency: Dept of Corr - Central Admin Location: Sussex I State Prison Agency Website: Recruitment Type: General...
$21.43 - $32.15 per hour
...positions, and extend our innovation to employment settings by including remote and hybrid opportunities. As a Health Plans Grievance and Appeals Coordinator , you will play a critical role within Banner Plans & Networks, ensuring the timely intake, review, investigation, and...Daily paidWork experience placementWork at officeRemote workMonday to FridayFlexible hoursShift work$45.5k - $54.4k
...Practice Manager and working under the guidance of the Lead Clinic Coordinator, this mission critical position is responsible for the... ...internal and external customers • Ability to deescalate patient grievances, and maintain customer service standards, and involve floor...- ...Medicare Appeals Coordinator In this role, you will take ownership of retrospective authorization appeals and high-priority escalated cases. You will dive into complex claims histories, collaborate closely with Clinical, Intake/Triage, and operational partners, and...
- General Manager Social, Golf - Leadership Talent Network General Manager Social, Golf - Leadership Talent Network General Manager Social, Golf - Leadership Talent Network General Manager Social, Golf - Leadership Talent Network Assistant General Manager Social/Golf Experience...Remote job
$22.99 per hour
...problem solver with sharp attention to detail looking for a work-from-home opportunity? We are seeking a dedicated Grievance and Appeals Intake Coordinator to join our collaborative operations team! Save time and money by ditching the daily commute and working...Hourly payPermanent employmentTemporary workWork experience placementWork from homeHome officeMonday to FridayFlexible hoursShift work- ...Job Description Job Description Title: Coordinator - Grievance and Appeals Pay Rate: $23.98/hr on W2 Duration: Up to 6 Month Assignment Work location: Rancho Cucamonga, CA 91730 HYBRID Key Responsibilities: 1. Maintain working knowledge of regulatory...Work at officeImmediate start
- ...completing the appeal. Extensive training on internal and external systems and the internal appeal process Skills: ~ Appeals& Grievance, Medicaid, Medicare Education/Experience: At least 1 year of experience in health insurance claims and appeals is strongly...Remote job
- ...Job Description Job Description Position Grievance and Appeals Coordinator Hybrid Role In office Tuesday - Thursday | Remote M&F (8am - 5pm) Position Description Join our clients dynamic team as a vital link in thier Grievance and Appeals department, where...Work at officeImmediate startRemote work
- ...Job Description Job Description Our client, a Medical Center company, is looking for a Member Appeals & Grievances Coordinator for their Charlestown, MA location. Responsibilities: The Member Appeals and Grievances (A&G) Coordinator performs administrative...Work at officeFlexible hours
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