Grievance Appeals Coordinator I
Randstad
Grievance And Appeals Coordinator
We are seeking a Grievance and Appeals Coordinator to join our 100% remote team. You will enjoy a highly productive, collaborative, and psychologically safe work environment where your expertise directly impacts member care. Save time and money by ditching the commute and working from your own home office. Responsibilities include acknowledging, processing, and resolving time-sensitive member appeals via fax, phone, or email within established regulatory turnaround times.
- ...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...SuggestedContract workApprenticeshipLocal areaRemote work
$23 per hour
...resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Education/Experience: High... ...files on individual appeals and grievances * May coordinate the Grievance and Appeals Committee * Support...SuggestedContract workTemporary workRemote work$22.99 per hour
...resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Education/Experience: High school... ...on individual appeals and grievances • May coordinate the Grievance and Appeals Committee • Support the...SuggestedHourly payPermanent employmentTemporary workWork experience placementRemote workShift work- ...Job Title: Grievance & Appeals Coordinator I - 210056 Address: Columbus, OH Job Description: Coordinate and manage patient grievances and appeals processes effectively. Communicate with stakeholders to resolve issues and escalate as needed. Maintain accurate records of...SuggestedFull timeRemote workShift work
$19.43 - $32.98 per hour
...resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Key Details: Must be... ...on individual appeals and grievances ~ May coordinate the Grievance and Appeals Committee ~ Support...SuggestedHourly payFull timePart timeH1bWork at officeRemote workFlexible hours$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- ...Job Title: Grievance & Appeals Coordinator I - 210056 Address: Woodland Hills, CA Job Description Coordinate and manage grievance and appeals processes, ensuring compliance with regulatory standards. Review and analyze grievance and appeal cases to determine appropriate...Full timeRemote workShift work
- ...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...
$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- ...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...Contract workRemote 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- Alameda Alliance in California is seeking a Grievance and Appeals Coordinator II to review, investigate, and process non-complex grievances for all lines of business. You will ensure timely, accurate written communications and maintain complete records in the electronic...
- Banner Plans & Networks is seeking a Grievance and Appeals Coordinator to manage intake, review, investigation, and resolution of grievances, appeals, and provider disputes. This high-volume role requires precise documentation, adherence to timelines, and collaboration...Remote jobMonday to FridayShift 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...
- ...Job Title 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. 2+ years...
$44.35k - $66.52k
...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 Grievances...Full timeWork at officeWork from homeFlexible hoursAfternoon shift- ...Job Responsibilities: Appeal and Grievance Coordinator Claims research and processing (more of researching why the claim was denied than actually researching into the claim) Authorization lookup/ building authorizations as well as updating authorizations Researching...Remote job
$60.78k
...Appeals And Grievances Specialist II Job Category: Customer Service Department: Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $60,778.00 (Min.) - $91,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent...Full timeLocal areaRemote workShift workWeekend work- 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
$30.09 per hour
...responsibility 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$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- ...Managing the resolution process for medical and pharmacy member appeals and grievances, the full-time remote Appeals and Grievance Specialist... ...regulatory requirements and accreditation standards while coordinating with internal and external stakeholders. Key...Full timeRemote work
$57.45k - $68.22k
...matching up to 5% ~ Tuition reimbursement ~ Health & fitness benefits, discounts and resources Job Summary The MA Appeals and Grievances Specialist provides a world class customer service experience through processing and resolution of Medicare Advantage (MA)...Full timeFor contractorsImmediate startRemote workRelocation$46.37k - $60.86k
...Hi, we're Oscar. We're hiring a Specialist, Admin Complaints, Grievances & Appeals to join our CGA & MPCT team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar...Remote jobFull timeWork at office$28 - $34 per hour
...Series B. More info at Akidolabs.com. Position Summary The Grievance Coordinator is responsible for the management, investigation, documentation... ..., and resolution of all health plan grievances, complaints, appeals support, and regulatory inquiries for clinics across the...Hourly payWork at office- ...Job Title: Appeals & Grievance Specialist Job ID: 89227 Location: Boulevard, Irving Overview: The Appeals & Grievance Specialist II... ...sources to make informed and accurate determinations. Coordinate with clinical, claims, customer service, provider relations...Work at officeMonday to Friday
- ...redetermination requests. Review and respond to complaints, grievances and appeals within the stated time frame for each request. Certify... ...for Medicare and Medicaid Services and TRICARE. Coordinates with pertinent departments to effectuate resolution resulting...
$48.5k - $70.5k
...our members, no matter their circumstances. Job Summary The Appeals and Grievance Specialist is responsible for managing the resolution... ...Authority, as needed Complaint/Grievance Responsibilities Coordinates management of member complaints and grievances with other internal...Contract workWork at officeFlexible hours$46.99k - $91.8k
...affects on the organization, as well as for enforcing security and safety measures. Coordinate effective resolution of member and/or provider/practitioner appeals, complaints and grievances. Responsible for the day-to-day management of staff to ensure effective...Hourly payFull timeContract workTemporary workLive inLocal area$38.48k - $73.4k
...ensuring fair, compliant resolution of patient complaints, appeals, and grievances. You’ll help drive process excellence, safeguard... ...to identify errors, inconsistencies, or compliance gaps Coordinate and draft appeal decision letters, ensuring timely and accurate...Hourly payFull timeTemporary workLocal areaRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Grievance Appeals Coordinator I. Be the first to apply!
- aba coordinator United States
- literacy coordinator United States
- maths coordinator United States
- corporate coordinator United States
- reimbursement coordinator United States
- engineering coordinator United States
- loan coordinator United States
- case coordinator United States
- warranty coordinator United States
- workforce coordinator United States


