Remote Appeals & Grievances Intake Coordinator II
Medica
- Remote job
Medica is seeking an Appeals & Grievances Intake Coordinator II to handle intake, case entry, and routing for member and provider appeals and grievances. Responsibilities include applying guidelines to classify cases, entering data accurately, and routing to the correct teams to support timely processing. Your role supports regulatory compliance and a positive member experience through precise documentation, timely responses, and clear communications. #J-18808-Ljbffr Medica
- ...plan serving communities across Minnesota and beyond. The Appeals & Grievances Intake Coordinator II performs intake, case entry, and routing to support... ...issues, document accurately, and ensure compliance. This remote role requires residing in Medica-eligible states and...Remote job
$41.3k - $61.95k
...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... ...regulations This position is a Remote role. To be eligible for...Remote workFull timeWork experience placement$48.37k - $72.56k
...only changing lives 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...Remote job- ...Managing and coordinating grievance and appeals processes, the full-time Grievance & Appeals Coordinator will review incoming cases, ensure compliance... ...with internal teams while working in a hybrid remote environment. Key responsibilities Manage and coordinate...Remote workFull timeWork at office
- ...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
- ...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...Remote workHourly payContract 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 workHourly payFull time- ...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 - $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$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- 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
- 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
- Centene Corp. is hiring a Grievance & Appeals Coordinator I to analyze and resolve verbal and written claims and appeals from providers and pursue resolutions of member grievances. The role is remote within California, with duties including preparing response letters, maintaining...Remote job
- ...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
$60.78k
...achieve that purpose. Job Summary The Appeals and Grievances (A&G) Specialist II will receive, investigate and... ...and NCQA standards and regulations. Intakes, acknowledges, prepares case files... ...hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in...Remote workLocal areaShift workWeekend work$41.6k
...culture. What You’ll Be Doing: The Coordinator, Intake Utilization Management at Evolent... ...health care experience in claims or appeal & grievance. Required ~ Previous background/... ...workload and prioritizing assignments in a remote environment. - Required To...Remote workFull timeImmediate start- ...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 cases are handled...
- ...Home Infusion Intake Coordinator 100% Remote Home Infusion or Infusion Center Experience Required Please note: Candidates must have previous Intake... ...internal teams Manage denials and assist providers with appeals and peer-to-peer review processes Educate patients...Remote workWork from home
- ...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
$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... ...Background Screening - REMOTE License Specialist I/II - Auto License Department Nashville, TN $40,911.00-$49...Remote workHourly payMinimum wageFull timeContract workPart timeWork experience placementWork at officeLocal areaShift workWeekend 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- ...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 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$35.47 - $48.82 per hour
...to toggle section visibility Onsite or Remote Fully On-Site Work Schedule Monday-... ...Psychiatry is seeking to hire a full-time Intake Coordinator to join our Neuromodulation Division.... ...any misconduct; or have filed an appeal of a finding of substantiated misconduct...Remote workHourly payFull timeWork at officeMonday to Friday$22 - $24 per hour
...searching for a Full Time, Contract Clinical Intake Analyst for our Healthcare client. In... ...Care Management, Disease Management, and Appeals. You’ll manage intake, triage documents,... ...FTE Start Date: October 6, 2025 Location: Remote - must reside in OR, WA, ID, or UT Schedule...Remote workFull timeContract workWork at officeWeekend workAfternoon 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
$76.23k - $92k
...services. Position Summary The Basic Needs Intake Coordinator serves as a primary point of contact... ...is eligible for up to 1 days/week remote work within the United States. Exact arrangements... ...involving misconduct; or have filed an appeal of a finding of misconduct with a...Remote workFull timeTemporary workPart timeH1bImmediate start1 day per week
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