Remote Grievances & Appeals Coordinator
TEKsystems
- Remote job
TEKsystems is urgently seeking a remote Grievances and Appeals Coordinator based in California. The role requires sitting out of San Luis Obispo, Santa Barbara or Ventura County and handling G&A and member billing cases with compliance to regulatory standards. The position emphasizes thorough research, strong written communication, and coordination with Health Services QI and Medical Director teams. It is a contract role, with a competitive hourly pay and fully remote work. #J-18808-Ljbffr TEKsystems
- ...Job Title: Grievance & Appeals Coordinator I - 210056 Address: Various, GA Job Description Manage and coordinate grievance and appeals processes... ...of cases and correspondence. ***Critical Information*** Remote: Yes Shift/Work Hours: Standard business hours, hybrid environment...Remote workFull timeWork at officeShift work
- ...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
- ...Will this position be required to work onsite for any reason at any time? No Engagement Description - The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, authorized representatives...Remote 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- 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
- 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
$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$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- ...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
- ...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
$23 per hour
...Job Description Job Description Title: Appeals and Grievances Coordinator Location: Remote, California – Must Reside Within Commuting Distance of either Natomas/Sacramento, CA or Woodland Hills, CA Pay: $23/Hour Schedule: Monday Through Friday, 8:00...Remote workFull timeContract workTemporary workCasual workMonday to Friday$30.51 - $32.61 per hour
...NOW HIRING: 100% Grievance & Appeals Coordinator | 100% Remote | Interviewing Immediately | Immediate Openings 100% Remote | Interviewing Immediately | Immediate Openings . Are you experienced in Grievances & Appeals, Managed Care, Medi-Cal, Benefits Investigation...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 as the primary investigator and contact for member and provider issues. Key responsibilities...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$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- ...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
$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- ...written inquiries from members seeking resolution through the grievance and appeals process. KEY RESPONSIBILITIES: Researches member issues and... ...of the decision made at each level of the appeal process. Coordinates with the Claims, Pharmacy helpdesk and or Medical...
- 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
- ...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...
$22.15 - $24 per hour
...Professional development opportunities and tuition reimbursement ~ Remote work flexibility (role-dependent) ~ Opportunity for... ...a time. What You Will Do - Essential Functions The Appeals Coordinator processes and documents all aspects of appeal cases...Remote workHourly payWork at officeLocal areaWork from homeHome officeFlexible hours- ...Maintains a caseload and monitors day to day compliance of appeal decision time frames. Reviews clinical and medical records for... ...assists in the development of department flows and implementations. Coordinates and distributes first, second and third level appeal request...Remote workWork experience placement
- ...Appeals Coordinator This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Appeals Coordinator based in United States. This role is responsible for coordinating and managing appeal cases...Remote workWork at office
- 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
- ...Healthfirst is seeking a Grievance Specialist to join its Appeals & Grievances team in a fully remote position. You will manage and resolve member complaints across Medicare... ..., Medicaid, and other Healthfirst programs, coordinating with internal teams and external partners to...Remote 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...Remote workTemporary workLocal area
- ...background and reviews of medical records for appeals decisions. The Corporate Medical... ...Perform or oversee clinical reviews of grievance and appeal cases for assigned markets, member... ...clinical specialists Work Style: Fully remote living in the USA. Occasional travel to...Remote workWork from homeHome officeMonday to FridayWeekend work
$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 to help...Remote jobHourly payMinimum wageFull timeContract workPart timeWork experience placementWork at officeLocal areaShift workWeekend work
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