GRIEVANCE AND APPEALS COORDINATOR I
Randstad
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 complex member and provider appeals and grievances, ensuring high quality, empathetic service and strict compliance. Enjoy the freedom and flexibility of working from your home office on a steady schedule with weekend-free days.
$41.62k - $62.42k
...including remote and hybrid opportunities. As a Health Plans Grievance and Appeals Coordinato r, you will play a critical role within Banner... ...service issues, determine appropriate levels of review, coordinate with internal teams and providers, document findings, and...SuggestedDaily paidPart timeWork experience placementWork at officeRemote workMonday to FridayFlexible hoursShift work$39.75k - $62.8k
...Management solution! Job Description Summary The Appeals and Grievances (A&G) team is responsible for managing all aspects of the... ...notification, and compliance. The Appeals and Grievances Coordinator I serves as a key member of the A&G team, processing...SuggestedFull timeLocal areaRemote workMonday to FridayFlexible hoursNight shift$41.89k - $60.65k
...the people and communities we serve. The Job The GAD Coordinator coordinates the work of a team of Member Services... ...Your Qualifications ~0-3 years of related experience in Grievances and Appeals. ~ High school diploma or equivalent experience required...SuggestedHourly payFull timeFor contractorsWork at officeRemote workShift 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...SuggestedContract workApprenticeshipLocal areaRemote work
$19.43 - $32.98 per hour
...report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints... ...appeals Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-...Hourly payFull timePart timeLive inWork at officeRemote workFlexible hours$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- ...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 from providers and pursue resolution of formal...Hourly payWeekly payRemote 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: $...Contract workWork at officeLocal areaImmediate 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- ...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...
$30 - $32 per hour
Immediate need for a talented Grievance and Appeals Coordinator . This is a 6+ months contract opportunity with long-term potential, located in Corona, California (Hybrid) . Please review the job description below and contact us ASAP if interested. Pay Range $30.00/hr...Contract workImmediate start$20 - $36 per hour
...Medicare Appeals, Grievances, and Complaints Manager Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses... ...of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer...Hourly payMinimum wageFull timeWork experience placementWork at officeLocal area- 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
- 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
- ...operating margin. We 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...
$40 - $43 per hour
...Job Description Job Description Description The successful candidate will be responsible for overseeing grievance and appeal reviews, as well as conducting cultural and linguistic reviews for our subcontractors to ensure alignment with our commitment to diversity...Contract workTemporary workFor subcontractor- Kelsey-Seybold Clinic in Pearland, part of the Optum family, seeks an Appeals and Grievances Coordinator to manage Medicare reconsiderations, grievances, and appeals in line with CMS rules. This role acts as the primary liaison for the CMS regional office and coordinates...Work at office
$22.99 per hour
...verbal and written claims and authorization appeals from providers, as well as pursue the resolution of formal grievances from members. You will be joining a highly collaborative... ..., grievances, and appeals. Workflow Coordination: Build authorizations for medical review and...Hourly payPermanent employmentTemporary workWork experience placementWork at officeShift work$19.76 per hour
...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, you will review incoming complaints, investigate complex...Hourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeHome officeMonday to FridayShift workWeekend work- ...~ Wellness resources About the Role: MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented Grievance and Appeals Coordinator to join their dynamic healthcare team. In this critical role, you'll serve as a key advocate in ensuring member concerns...Work from homeFlexible 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$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...Hourly payPermanent employmentTemporary workWork experience placementWork at officeShift work$77.27k - $123.63k
...communities and residents and to support the safety net required to achieve that purpose. Job Summary The Supervisor, Appeals and Grievances is responsible for direct supervision and support of the team responsible for the intake, research, resolution, tracking,...Full timeWork at officeRemote workShift workWeekend work- ...vendor sites for authorizations and reviewing notes -Reviewing appeal letters to determine what the provider is appealing -Responsible... ...and the internal appeal process Skills: ~ Appeals& Grievance, Medicaid, Medicare Education/Experience: At least 1 year...Remote job
- ...Job Description Job Description Imperial is seeking an Appeals and Grievances coordinator to help with the exchange side of Medical. Experienced and familiar with NCQA regulations. Responsible for reviewing and resolving member complaints and appeals and communicating...
$60.78k - $91.17k
...income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and appeals exercising strong...Full timeLocal areaRemote workShift 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...Contract workRemote work- ...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
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