Appeals & Grievances Resolution Specialist
CVS Health
CVS Health is seeking an Appeals, Complaints and Grievances Analyst to manage intake, investigations, and resolutions across products, coordinating responses with multiple units to ensure timely, customer-focused outcomes. The role requires 1–2 years of experience with benefits, claims platforms, and regulatory analysis. Requires strong analytical skills and knowledge of plan design and regulatory requirements; full-time, 40 hours/week in Louisiana. #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Appeals & Grievances Resolution Specialist in Oklahoma City, OK vacancy
- ...CVS Health is seeking an Appeals Specialist in Oklahoma City to manage intake, investigation and resolution of appeals, complaints and grievances across products. You will coordinate responses from multiple units to deliver timely, member-focused outcomes and identify...Suggested
CVS Health
Oklahoma City, OK2 days ago $17 - $25.65 per hour
...person, one family and one community at a time. Position Summary Responsible for intake, investigation and resolution of appeals, complaints and grievances scenarios for all products, which may contain multiple issues and, may require coordination of responses from...SuggestedHourly payFull timeContract workLive inLocal area$17 - $28.46 per hour
...to simplify health care one person, one family and one community at a time. Position Summary Review, research, and enter grievance and appeal cases within one business day of receipt. Monitor multiple intake sources, including call tracking, fax, email, and mail, and...SuggestedHourly payFull timeLocal area- ...J&B Medical Supply Co Inc is seeking a Service Coordinator-Resolution Specialist to support escalated patient care issues and coordinate the order lifecycle with internal teams. The role emphasizes speed, accuracy, and customer empathy to deliver exceptional service. The...SuggestedFull timeRemote work
J&B Medical Supply Co Inc
Oklahoma City, OK2 days ago - ...Patient Care/Health Insurance and Medical Supplies to join our Resolution Team. If you are located within 40 miles of Wixom, Michigan... ...start date: 11/4/26 Summary: The Service Coordinator-Resolution Specialist is responsible for providing support to the J&B teams and Leadership...SuggestedFull timeCasual workWork at officeRemote workMonday to FridayAfternoon shift
J&B Medical Supply Co Inc
Oklahoma City, OK2 days ago - ...Position Title Billing Office Specialist - Breast Health Network - Edmond Department... ...related to inquiries, and providing resolution based on established procedures. This... ...provider network, program benefits, appeals and grievances. Calls may be triaged according to...Work experience placementWork at office
OU Medicine
Edmond, OK2 days ago - ...The Escalations/WFM Specialist supports Dobson's Care organization by helping manage escalated customer issues and assisting with day-... ...acknowledgment, active follow-up, and clear communication through resolution. Support intraday workforce management activities, including...
Dobson Fiber
Oklahoma City, OK13 hours ago $60k - $75k
...seeking a detail-oriented, analytical, and proactive E-Commerce Specialist to manage and grow our presence across key online marketplaces... ...optimization Support customer communication and issue resolution related to online orders and marketplace inquiries Prepare regular...Full timeWork at officeRMS International
Oklahoma City, OK15 hours ago- ...Certified Coding SpecialistThe Certified Coding Specialist is responsible for the abstraction or accurate coding of procedures from the... ...follow-up denials. Works to improve billing based on findings/resolution of errors.Works with departments to optimize reimbursement, ensure...For contractorsLocal areaRemote work
Xpress Wellness Urgent Care
Oklahoma City, OK3 days ago $25 - $30 per hour
...global workplace. About The Role We're looking for a Purchasing Specialist on behalf of our client. This is a 1-year contract assignment.... ...existing POs, including updates, confirmations, and issue resolution. You will support special projects such as identifying and resolving...Contract workWestinghouse Electric Company
Oklahoma City, OK3 days ago$20.54k
...Job Posting Title Transportation Specialist Agency 345 DEPARTMENT OF TRANSPORTATION Supervisory Organization Chief Engineer, Director... ...with others; to perform business calculations and negotiate resolutions with others; to communicate and express ideas effectively, both...Full timePart timeFor contractorsRelocationRelocation packageFlexible hoursState of Oklahoma
Edmond, OK1 day ago$43.5k
...MV Call Center Specialist IAgency: 640 SERVICE OKLAHOMASupervisory Organization: Help Desk & LO Support ServicesJob Type: RegularCompensation... ...accounts and motor vehicle records to determine appropriate resolutions.Reviews documentation for completeness and accuracy.Escalates...Work at officeWeekend workAfternoon shiftEarly shiftState of Oklahoma
Oklahoma City, OK3 days ago- ...Permitting SpecialistPermitting Specialist assists senior permitting staff in all aspects of various permitting projects, while remaining... ...and outside the company.Thoughtful decision-making, problem resolution and creative thinking skills a must.Ability to work a minimum...Work at officeNight shift
Reagan Smith
Oklahoma City, OK14 hours ago $22.12 - $24.45 per hour
...Thurs-Sat 7:30 AM to 7:30 PM The Job/What You’ll Do: The Crisis Specialist is responsible for receiving, responding to, and triaging... ...triage incoming crisis requests, resulting in safety and crisis resolution; effectively use the risk assessment tool to guide crisis intervention...Full timeTemporary workLive inWork at officeLocal areaRemote workHome officeFlexible hoursSolari Corp
Oklahoma City, OK13 hours ago- ...and healthcare systems in Oklahoma’s Medicaid plan. You will manage day-to-day provider relations, onboarding, training, and issue resolution to support financial and quality performance. The role requires 2+ years in health care or managed care, Oklahoma residency, and...
CenterWell Certified Healthcare Corp.
Oklahoma City, OK2 days ago $53.46k
...are dedicated to the same philosophy, consider joining our team! Position Purpose: Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit...Full timeFor contractorsWork experience placementLocal areaRemote workMonday to FridayShift work- ...partnerships and life-changing programs.Position Summary: The Triage Specialist is an integral part of City Rescue Mission's One Door OKC... ..., referrals, and administrative tasks.Strong conflict-resolution, crisis-management, and de-escalation skills.Demonstrated ability...Temporary workWork at officeLocal areaImmediate startMonday to FridayFlexible hoursShift work
City Rescue Mission
Oklahoma City, OK18 hours ago $46.92k
Description: Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible ...Full timeWork from homeRelocation packageFlexible hoursWeekday workMilton Hershey School
Edmond, OK7 hours ago$35.5 - $53.25 per hour
...now or in the future. Pay Range: $35.50 - $53.25 Supports the Civil Rights team by coordinating the receipt, investigation, and resolution of discrimination in service delivery cases and oversees the data collection and management for the Civil Rights team. Major Responsibilities...Daily paidFull timeTemporary workPart timeWork at officeRemote workRelocationFlexible hoursShift work- ...The Agent Experience Specialist works cross-functionally within Customer Support and across partnering departments to improve the overall... ..., accuracy, and agent-driven KPIs such as First Contact Resolution (FCR), NPS, and Inquiry Resolved. As a member of the Customer...Local areaRemote workShift work
Bob's Discount Furniture
Oklahoma City, OK13 hours ago - ...analysis on moderately complex statements of work and assist in identifying schedule completeness and ability to execute.Support the resolution of critical path and network logic conflicts.Company Benefits & Culture:Flexible start times with 9-hour workdays, following a 9x...Work experience placementFlexible hours
Artech
Oklahoma City, OK15 hours ago - ...priorities by pulling electronic reports for clients. Follow up with process servers for status via phone and email to push for quick resolution. Apply client and county specific requirements to daily work production and become familiar with rules of Civil Procedure....Work at office
- Job Title: Invoice Processing Specialist Job Type: (Remote) Job Summary The Invoice Processing Specialist — Accounts Payable is responsible... ...investigate invoice and payment issues and coordinate timely resolutions. Vendor Communication: Ability to communicate professionally...Weekly payRemote work
$25 - $30 per hour
...in the global workplace. Role We are looking for a Purchasing Specialist on behalf of our client. This is a 1-year contract assignment... ...maintain existing POs, including updates, confirmations, and issue resolution. You will support special projects such as identifying and...Contract work$55k - $62k
...excellence. We are seeking a detail-oriented, proactive Revenue Cycle Specialist to help drive strong financial performance while ensuring an... ...insurance accounts receivable, including timely follow-up and resolution of outstanding balances.• Respond promptly to patient billing...Temporary workMonday to Friday- ...Description Join our team as a day shift, full time, Patient Access Specialist at INTEGRIS Health Baptist Medical Center Portland Avenue in... ..., and payers for all pre-care matters related to account resolution. Provides information regarding the patients coverage eligibility...Full timeWork at officeImmediate startDay shift
- ...Maintain real-time reporting of call and agent activity Prepare and manage workflow referrals, ensuring appropriate follow-up and resolution Follow established call center procedures, workflows, schedules, and break times to maintain appropriate service coverage...Full timeContract workWork at officeMonday to Friday
- ...business days. Cross-Training: Work closely with the departing AR Specialist ahead of their 10/1 exit to absorb process knowledge, account... ...to meet firm turnaround deadlines, particularly the 5-business-day deduction resolution requirement. #J-18808-Ljbffr Roesseljoy
$16.85 per hour
A Day in Life: The Recovery Specialist is responsible for managing and collecting outstanding damage-related claims associated with rental... ...phone, email, and written correspondence. Negotiate payment resolutions with customers, insurance carriers, and third parties. Track...Hourly payWork at office$60k
...North America. About This Role The Accounts Receivable (AR) Specialist is responsible for managing the full billing and collections cycle... ..., customer account reconciliation, payment posting, and resolution of outstanding accounts. Key Responsibilities And Accountabilities...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Appeals & Grievances Resolution Specialist. Be the first to apply!
Related searches
- sewing specialist Oklahoma City, OK
- graduation specialist Oklahoma City, OK
- technology integration specialist Oklahoma City, OK
- evaluation specialist Oklahoma City, OK
- escalation specialist Oklahoma City, OK
- educational technology specialist Oklahoma City, OK
- policy specialist Oklahoma City, OK
- transition specialist Oklahoma City, OK
- performance improvement specialist Oklahoma City, OK
- assessment specialist Oklahoma City, OK