Grievance Appeals Coordinator
Virtual Vocations Inc
A company is looking for a Grievance & Appeals Coordinator I to analyze and resolve claims and authorization appeals. Key Responsibilities Gather, analyze, and report on member and provider complaints, grievances, and appeals Prepare response letters for complaints, grievances, and appeals Maintain files on individual appeals and grievances and support related programs Required Qualifications High school diploma or equivalent; Associate's degree preferred 2+ years of experience in grievance or appeals, claims, or managed care Relevant experience in a similar role is acceptable
- ...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: 1...SuggestedContract workRemote work
$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...SuggestedFull timeWork at officeLocal areaShift work$22 - $22.5 per hour
...Base pay range $22.00/hr - $22.50/hr Immediate need for a talented Grievance & Appeals Coordinator I . This is a 03+ Months Contract opportunity with long-term potential and is located in GA (Remote) . Please review the job description below and contact me ASAP...SuggestedContract workLocal areaImmediate startRemote 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...SuggestedContract workRemote work
- ...Grievance and Appeals Coordinator Join our client's dynamic team as a vital link in their Grievance and Appeals department, where you will play a crucial role in ensuring our members and providers receive the highest standard of care and service. Under the guidance...SuggestedWork at officeImmediate startRemote work
- ...Grievance & Appeals Coordinator I Job Category: Clinical Services Full-Time Remote Remote Washington State Seattle, WA 98101, USA Description Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce...Full timeTemporary workPart timeWork experience placementWork at officeRemote workTrial periodFlexible hours
- ...Appeals and Grievances Coordinator is a full-time role responsible for managing the appeals and grievances process for dental and vision services, collaborating with various teams to ensure compliance and timely resolutions. Key Responsibilities Complete appeals and...Full timeWork at officeRemote work
$22 - $24 per hour
We are seeking a detail-oriented Appeals Coordinator to manage the formal grievance and appeals process for a leading insurance provider. This role acts as a critical link between members, healthcare providers, and the clinical review team. You will be responsible for...Hourly payPermanent employmentTemporary workWork experience placementShift work$20 - $22 per hour
...A-Line Staffing is now hiring a Grievance and Appeals Coordinator in Woodland Hills, CA. The Grievance and Appeals Coordinator would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week. If you are interested...Hourly payFull timeImmediate startRemote workMonday to FridayShift work- ...resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Education/Experience:... ...files on individual appeals and grievances • May coordinate the Grievance and Appeals Committee • Support...Contract workTemporary workRemote work
$18.33 - $30.55 per hour
...opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. The Appeals and Grievances Coordinator is the primary point of contact for members, providers, and clients throughout the appeals and grievances process....Hourly payWork at officeLocal areaRemote workFlexible hoursShift work- ...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 - $23 per hour
...A leading healthcare consulting firm is seeking a Grievance & Appeals Coordinator for a remote position. This role involves processing and resolving member appeals and grievances while maintaining compliance with healthcare regulations and quality standards. Candidates...Contract workRemote work- ...Temporary Coordinator, Grievance And Appeals Schedule: The position is 100% remote, and the candidates must reside in Southern California. Description: The Temporary Coordinator, Grievance and Appeals supports the administrative and operational functions of the...Temporary workWork at officeImmediate startRemote 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...Hourly payFull timeRemote 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- ...Grievance And Appeals Coordinator Responsible for all written inquiries from members seeking resolution through the grievance and appeals process. Key Responsibilities: Researches member issues and prepares grievance and appeals information for each level of...
- ...HPSM Grievance and Appeals Processor Implement HPSM's Grievance and Appeals processes by resolving complaints filed by HPSM members and their representatives as well as provide back-up support to Member Services and CareAdvantage units. Duties & Responsibilities...Work at officeLocal areaRemote work
- ...Now Hiring: Appeals And Grievance Coordinator Build your Career. Make a Difference. Presbyterian is hiring a skilled Appeals and Grievance Coordinator to join our team. Type of Opportunity: Full time Job Exempt: Yes Job is based: Reverend Hugh Cooper Administrative...Full timeContract workTemporary workLocal areaImmediate startShift work
- ...Grievance And Appeals Coordinator Under the general direction of the Grievance & Appeals Nurse Manager and Grievance Supervisor, the Grievance and Appeals Coordinator is responsible for completing administrative functions and supporting departmental activities for processing...
- ...Grievance Coordinator The Grievance Coordinator is responsible for timely intake, processing, researching, documenting and responding to grievances... ...customers by listening to their needs. May work with appeal nurse(s) and Medical Director(s), who oversee clinical...Work at officeImmediate start
- ...position investigates and finds resolution of complaints, grievances and member appeals based upon specific regulatory requirements. In addition... ...of State Fair Hearing/IRO packets as well as coordination and participation in State Fair Hearings. Essential Duties...Contract workRemote work
$77.2k - $96.5k
...Overview Supervises and monitors department staff members' handling of grievances and appeals for all product lines, and ensuring compliance with state and federal regulatory requirements and timelines. Responsible for oversight of the subcontractors who have been...Work experience placementFor subcontractorFlexible hoursWeekend work- ...life on their own terms. The Supervisor will provide daily oversight and monitoring of staff intaking and assigning all appeals and grievances for all product lines and ensuring compliance with internal policies/process state and federal regulatory requirements. Responsible...
$122.4k - $265.1k
...JOB DESCRIPTION The Grievance and Appeals Director provides strategic leadership and operational oversight for Delta Dental's Grievance and Appeals (G&A) function. This role is responsible for the development, execution, and continuous evolution of the department...Local areaVisa sponsorshipWork visa- ...Working remotely in a full-time capacity, the RN Appeals and Grievances Specialist will manage the appeals process, review grievances, and ensure compliance with regulatory requirements. Key responsibilities Manage and oversee the appeals process for clinical cases...Full timeRemote work
- Healthcare Administrative Professional Opportunity Are you a healthcare administrative professional looking for a meaningful, 100% remote opportunity? We are seeking dedicated problem solvers to join our growing team. Following a recent membership expansion that doubled...Remote work
- A leading healthcare consulting firm is seeking a Grievance & Appeals Coordinator I for a contract role. Responsibilities include managing member appeals, ensuring compliance with CMS guidelines, and maintaining a high productivity benchmark. Candidates need a high school...Contract workRemote work
$22 per hour
...Appeals Coordinator Our client, a leading company specializing in non-invasive skin cancer treatment, is seeking an experienced and detail... ...operations. ~ Experience in aged claims management and grievance and appeals processing is highly desirable. ~ Excellent organizational...Hourly payWork at officeWork from home2 days per week$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...Contract workRemote work
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