Grievance & Appeals Coordinator
Virtual Vocations Inc
Managing and coordinating grievance and appeals processes, the full-time Grievance & Appeals Coordinator will review incoming cases, ensure compliance with regulatory guidelines, and collaborate with internal teams while working in a hybrid remote environment. Key responsibilities Manage and coordinate grievance and appeals processes in accordance with regulatory guidelines Review and process incoming grievances and appeals efficiently and accurately Collaborate with internal teams to resolve issues and communicate outcomes to stakeholders Required qualifications Experience in grievance and appeals processes or related compliance roles Familiarity with regulatory guidelines and policies relevant to grievance handling Ability to maintain detailed documentation of cases and correspondence Strong organizational skills to manage multiple cases simultaneously Proficiency in using office software and case management systems
- ...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...SuggestedWork experience placement
$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 - $...SuggestedContract workWork at officeLocal areaImmediate startRemote 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...Suggested
- ...Grievance And Appeals Coordinator As a Grievance and Appeals Coordinator, you will spend your day acknowledging and resolving member appeals within strict regulatory turnaround times. You will ensure compliance according to CMS, Medicaid, and state guidelines, coordinating...Suggested
- ...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...SuggestedHourly payContract workRemote 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- ...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
$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- 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
- 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
$41.3k - $61.95k
...our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. The Appeals & Grievances Intake Coordinator II performs intake, case entry, and routing activities for member...Full timeWork experience placementRemote work$48.37k - $72.56k
...but 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, investigation tracking, and resolution of grievances, appeals, and complaints submitted...Full timeRemote 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- ...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...
- 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
$44.79k - $67.19k
...only changing lives but saving them. Together.This position is fully remote. Must be available to work weekends. The Appeals & Grievance Coordinator is responsible for the day-to-day functions of the tracking and trending of all grievances, appeals, and complaints...Full timeWork at officeRemote workWeekend work- ...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...Hourly payWeekly payRemote work
$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...Full timeContract workTemporary workCasual workRemote workMonday to Friday$23 per hour
...Job Description Job Description A-Line Staffing is now hiring Healthcare Appeals and Grievances Coordinators in Columbus, OH. The Healthcare Appeals and Grievances Coordinator would be working for a Fortune 500 company and has career growth potential. This would be...Hourly payFull timeImmediate startRemote workMonday to Friday- ...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...
- ...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
$22.49 per hour
As a Grievance and Appeals Coordinator, you will spend your day acknowledging and resolving member appeals within strict regulatory turnaround times. You will ensure compliance according to CMS, Medicaid, and state guidelines, coordinating across departments to resolve...Hourly payPermanent employmentTemporary workWork experience placementRemote workShift work- ...knowledge of regulatory guidelines surrounding Grievances per CMS, DHCS, and DMHC. Understand... ...rights to access the Grievance and Appeals Resolution Process, within the respective... ...department protocol including: Coordinate, document and track all IEHP Member and...Work at officeLocal areaImmediate start
- 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
- ...Duties• Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and... .... • Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria....Contract workWork at office
- ...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...Full timeWork at officeRemote 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
$28 - $34 per hour
...communities in Los Angeles to ride-share drivers in New York. The Grievance Coordinator is responsible for the management, investigation,... ..., and resolution of all health plan grievances, complaints, appeals support, and regulatory inquiries for clinics across the region...Hourly payWork at officeImmediate startVisa sponsorship$60.78k
...Appeals and Grievances Specialist II Job Category: Customer Service Department: Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13321 Salary Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00...Full timeLocal areaRemote workShift workWeekend work$26.55 per hour
...aresponsibility to better the public good. We are currently seeking a Grievance Coordinator who has a passion for providing the highest quality care in... ...reports/responses; monitor action plans; coordinate appeals with management to resolution. Qualifications :...Hourly payContract workWork at office
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