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.
$19.43 - $32.98 per hour
...resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report... ...files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support...SuggestedHourly payFull timePart timeLive inWork at officeRemote workFlexible hours- ...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...Suggested
- ...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
- ...Grievance & Appeals Coordinator Are you a detail-oriented managed 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...SuggestedRemote workWork from home
$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
...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- ...Grievance & Appeals Coordinator Work Location: Detroit, MI 48226 Duration: 13 Months Job Type: Contract Work Type: Onsite Engagement Description: Process grievances and organization determinations, analyse, research, and provide comprehensive responses...Contract 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
- ...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...
- ...Job Title- Appeal and Grievance Coordinator Reviewer Location- Phoenix, AZ or Remote Duration- 03 Month+ Contarct Job Summary: Support medical and pharmacy appeals and grievances by researching cases, reviewing medical records, claims, coverage guidelines...Work at officeRemote work
- ...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...Hourly payWeekly payRemote 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
$20 - $23.5 per hour
...Job Description Job Description Grievance and Appeals Coordinator Must write and speak English and Spanish-will be tested Contract position-6 months $20.00-$23.50 Rancho Cucamonga, CA (onsite) Job duties: 1. Maintain working knowledge of regulatory...Contract workTemporary workWork at officeImmediate start$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$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 placementShift work- ...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...
$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- ...We are currently seeking a " Appeals Coordinator" for a Contract role with one of our clients in Phoenix, AZ. Please apply if you are interested... ...Coordinate with enrolled members and providers submitting grievances and appeals to obtain additional information or...Contract workWork at office
- ...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...
$30 - $35 per hour
...Now Hiring: Grievance & Appeals Specialists Are you an experienced Grievance & Appeals professional with a background in Medicare or Medicaid Managed Care? We're partnering with a leading healthcare organization that's looking to add multiple specialists to their growing...Work at officeImmediate start$25 per hour
...Description Job Description Job Description: The organization is seeking a dedicated and experienced Case Specialist, Grievance and Appeals to join their team on a hybrid basis. This role involves investigating and resolving member and provider complaints, benefits...Hourly payContract workWork at office- ...Maintains a caseload and monitors day to day compliance of appeal decision time frames. Reviews clinical and medical records for... ...assists in the development of department flows and implementations. Coordinates and distributes first, second and third level appeal request...Remote work
- ...GRIEVANCE COORDINATOR PUBLIC SAFETY DEER LODGE, MT The Montana Department of Corrections (DOC) is creating a safer Montana through Accountability, Rehabilitation and Empowerment. If you want to work making positive changes in your community, the Montana Department...Work experience placementWork at officeTrial periodShift work
$22.44 - $28.05 per hour
...culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Denials & Appeals Coordinator serves as the operational driver for timely and effective denial management, working closely with other members of the team,...Full timeWork at office$53k - $68k
...Appeals Coordinator (Healthcare Revenue Cycle) This role plays a critical part in maximizing reimbursement and protecting revenue through expert-level appeals and payer negotiations. What You'll Do Maximize reimbursement by identifying, documenting, and resolving...Local area- ...we trust that you will find all the resources you need here to be successful. Responsibilities Summary: The Grievance Coordinator is responsible for the receipt, investigation, and facility responses to grievances that are filed by detainees of the facility...Full timeContract workWorldwideFlexible hours
- ...Responsible for clinically assessing all adverse determinations made by insurers through all levels of the appeals process. Education Other Graduate of an accredited school of nursing Required Experience General Experience and knowledge of InterQual and Milliman criteria...
- ...Job Title: Grievance & Appeals Nurse Pay Rate: $30.72/hr on W2 Work location: Rancho Cucamonga, CA 91730 This is a Short-Term Assignment... ...all member grievance issues are investigated and care is coordinated appropriately and in adherence to Grievance and Appeals...Temporary workImmediate start
$17 - $21.5 per hour
...Appeals Coordinator Payrate: $17-$21.50 per hour, which may be below your state's minimum wage. Please take this into consideration when applying. Are you a recent graduate with a degree in the social services field? Are you eager to learn new skills and help adults...Hourly payMinimum wageCurrently hiringWork at officeLocal areaRemote workWork from homeFlexible hours- ...Job Summary: SafeRide Health is seeking an experienced Complaints and Grievance Coordinator responsible for processing complaints and grievances, consisting of member grievances, appeals, and provider disputes. This role ensures that cases are resolved by client-...
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