Appeals Coordinator
Virtual Vocations Inc
Working remotely on a full-time basis, the Appeals Coordinator will manage Peer to Peer calls with payers, document information in proprietary systems, and support various departmental functions while communicating effectively over the phone. Key responsibilities Schedule and conduct Peer to Peer calls with CorroHealth Medical Directors Document payer call information and enter account statuses into multiple databases Provide support for case entry, Peer to Peer, and appeals processes within the department Required qualifications High School Diploma or equivalent required; Bachelor's degree preferred Call center experience preferred Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines is a plus Proficient in MS Word and Excel, with the ability to utilize formulas and manage spreadsheets Accurate keyboard skills with a minimum typing speed of 30 words per minute
$19.76 per hour
...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 authorization and...SuggestedHourly payPermanent employmentTemporary workWork experience placementWork at officeRemote workWork from homeHome officeMonday to FridayShift workWeekend work- ...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...SuggestedRemote work
$17 - $21.5 per hour
...Appeals Coordinator Payrate: $17-$21.50 per hour, which may be below your state's minimum wage. Please take this into consideration when applying. Are you a recent graduate with a degree in the social services field? Are you eager to learn new skills and help...SuggestedHourly payMinimum wageCurrently hiringWork at officeLocal areaRemote workWork from homeFlexible hours- ...Grievance & Appeals Coordinator Are you an analytical problem solver with a passion for healthcare managed care? We are seeking dedicated Grievance & Appeals Coordinators to join our growing, collaborative team! In this fully remote role, you will analyze and resolve...SuggestedRemote workWork from homeHome officeWeekend work
$94.43k
Med Appeals & Grievance Specialist Coordinator Location Phoenix, Arizona Category Medical $94,432 Recognized as one of “AZ’s Most Admired Companies,” our partner is always looking for smart, passionate, and motivated individuals! You’ll have the opportunity to work with...SuggestedFull timeWork experience placementWork at officeLocal area- ...Job Title Job Description Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Contact customers to gather information and communicate disposition of case...Contract workApprenticeshipLocal areaRemote work
$22.99 per hour
...Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from... ...• Maintain files on individual appeals and grievances • May coordinate the Grievance and Appeals Committee • Support the pay-for-performance...Hourly payPermanent employmentTemporary workWork experience placementWork at officeRemote workShift work$22.44 - $28.05 per hour
...culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Denials & Appeals Coordinator serves as the operational driver for timely and effective denial management, working closely with other members of the team,...Full timeWork at office$22.99 per hour
...analyze and resolve verbal and written claims and authorization appeals from providers, as well as pursue the resolution of formal... ...member and provider complaints, grievances, and appeals. Workflow Coordination: Build authorizations for medical review and coordinate the...Hourly payPermanent employmentTemporary workWork experience placementWork at officeRemote workShift work$19.43 - $32.98 per hour
...Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from... ...Maintain files on individual appeals and grievances ~ May coordinate the Grievance and Appeals Committee ~ Support the pay-for-...Hourly payFull timePart timeWork at officeRemote workWork from homeMonday to FridayFlexible hours$22.99 per hour
Are you an analytical problem solver with a passion for healthcare managed care? We are seeking dedicated Grievance & Appeals Coordinators to join our growing, collaborative team! In this fully remote role, you will analyze and resolve complex member and provider appeals...Hourly payPermanent employmentTemporary workWork experience placementWork at officeRemote workWork from homeHome officeShift workWeekend work- ...Grievance & Appeals Coordinator Are you a detail-oriented managed 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...Remote workWork from home
- ...Claims And Appeals Analyst 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...
- ...Responsible for clinically assessing all adverse determinations made by insurers through all levels of the appeals process. Education Other Graduate of an accredited school of nursing Required Experience General Experience and knowledge of InterQual and Milliman criteria...
- ...Investigating and responding to medical, pharmacy, and dental grievances, the full-time remote Appeal Coordinator I will manage complaints, appeals, and inquiries while ensuring compliance with regulatory requirements. Key responsibilities Research and review grievances...Full timeRemote work
- 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
$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 and legal...Full timeWork at officeLocal areaShift work- Mass General Brigham Health Plan seeks an Appeals Coordinator to coordinate, process, investigate, and document member complaints across the Medicare line of business. You will guide the life cycle of appeals, maintain tracking, and communicate with stakeholders to resolve...Remote job
- ...to be considered for employment. Job Description Receive appeal notices and updates, create files for new appeals received, and... ...download rendered decision from appeal hearings via SharePoint. Coordinate with responsible parties, such as other LDH appeal staff, the...Work experience placementWork at office
$20 - $36 per hour
...Medicare Appeals, Grievances, and Complaints Manager Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family... ...Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care...Hourly payMinimum wageFull timeWork experience placementWork at officeLocal area$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- 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
$30.6 - $44.51 per hour
...offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more. The Appeals Coordinator will coordinate, process, investigate, and document all aspects of member complaints across our Medicare line of business....Hourly payFull timeCasual workWork at officeRemote workMonday to FridayFlexible hoursShift work$47.84k
...Appeals And Grievances Coordinator I Job Category: Customer Service Department: Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, L.A. Care...Full timeRemote workShift workWeekend 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 -...Contract workWork at officeLocal areaImmediate startRemote 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$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...Contract workRemote work- ...Claims And Appeals Analyst Position Summary: We are seeking a detail-oriented professional to analyze and resolve verbal and written claims and authorization appeals from providers, as well as pursue the resolution of formal grievances from members. You will be joining...
- Solü Technology Partners is seeking a Med Appeals & Grievance Specialist Coordinator (Clinical) for a 5-month contract based in Phoenix, AZ. The role focuses on appeals, benefit determinations, and medical denials with a background in managed care or prior authorizations...Remote jobContract work
- ...Job Title- Appeal and Grievance Coordinator Reviewer Location- Phoenix, AZ or Remote Duration- 03 Month+ Contarct Job Summary: Support medical and pharmacy appeals and grievances by researching cases, reviewing medical records, claims, coverage guidelines...Work at officeRemote work
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