Remote Appeals Coordinator {177541}
$18 - $20 per hourA-Line
- Remote job
A-Line Remote Appeals Coordinator {177541} Location: Remote Pay: $18.00- $20.00 per hour (Scheduled Pay: BiWeekly) Hours: M-F 8am-5pm Benefits: Health, Dental, Vision, Life Insurance, and Short term disability after 90 days Job Type: Full Time Job Summary The Appeals Intake Coordinator supports the processing of incoming Medicare member and provider appeals and grievances. This role screens and triages incoming complaints for urgency, benefit coverage, and medical necessity concerns, then routes cases to the appropriate analyst. The coordinator may assist with investigations, documentation gathering, correspondence, and periodic auditing or monitoring activities. Partners closely with Customer Service, Utilization Management, Medical Directors, and other internal teams to ensure timely and compliant handling of appeal and grievance intake. Requirements High School Diploma-Required Minimum 1 year in health insurance or managed care performing Appeals and Grievances functions - Required HealthEdge, Epic, and or Facets experience preferred #J-18808-Ljbffr A-Line
- ...Managing and coordinating grievance and appeals processes, the full-time Grievance & Appeals Coordinator will review incoming cases, ensure compliance... ...with internal teams while working in a hybrid remote environment. Key responsibilities Manage and coordinate...Remote workFull timeWork at office
$39k - $48.15k
...unable to sponsor visas for this role at this time. Position: Appeals Coordinator Position Summary: Responsible for reviewing,... ...holidays as needed based on business regulatory requirements #LI-Remote Pay Transparency: Factors that may be used to determine your...Remote workFull timeWork at officeVisa sponsorshipWeekend work$44.57k - $66.87k
...level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities. As a Health Plans Grievance and Appeals Coordinator , you will play a critical role within Banner Plans & Networks, ensuring the timely intake,...Remote workDaily paidPart timeWork experience placementWork at officeMonday to FridayFlexible hoursShift work- ...Working remotely in a full-time capacity, the Appeals Coordinator will manage the tracking and trending of grievances, appeals, and complaints within the Member Services Department, acting as the primary investigator and contact for member and provider issues. Key responsibilities...Remote workFull timeWork 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...Remote workContract 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...Remote workHourly payFull time- ...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:...Remote workContract work
$34.42 - $67.6 per hour
...Join to apply for the Appeals and Letters Coordinator Remote role at Optum 1 day ago Be among the first 25 applicants Join to apply for the Appeals and Letters Coordinator Remote role at Optum Optum is a global organization that delivers care, aided by technology...Remote workHourly payMinimum wageFull timeContract workPart timeWork experience placementWork at officeLocal areaShift workWeekend 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...Remote jobContract work
- Medica is seeking an Appeals & Grievances Intake Coordinator II to handle intake, case entry, and routing for member and provider appeals and grievances. Responsibilities include applying guidelines to classify cases, entering data accurately, and routing to the correct...Remote job
- ...seeking an experienced tribunals and mediation specialist for a 4-month contract with a local authority. The role focuses on managing appeals, preparing case documentation, and representing the organization at hearings and mediations. You will handle a varied caseload...Remote jobContract workLocal area
$22.15 - $24 per hour
Lucet in the United States is hiring an Appeals Coordinator to process and document appeal cases, ensuring regulatory compliance across NCQA... ...teams to support timely, accurate determinations. We offer remote work flexibility (role-dependent), competitive hourly pay between...Remote jobHourly pay$22.15 - $24 per hour
United States Location/Remote United States Remote Team Member Full-Time Requisition #: APPEA002664 Description Who We Are... ...member at a time. What You Will Do - Essential Functions The Appeals Coordinator processes and documents all aspects of appeal cases...Remote workHourly payFull timeWork at officeLocal areaWork from homeHome officeFlexible hours$48.37k - $72.56k
...only changing lives but saving them. Together.This position is a remote position. Candidates must be willing to work weekends.Job... ...receipt of all Complaint Tracking Module (CTM) grievances and appeals cases.Gathers pertinent information from members, providers, internal...Remote job$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 -...Remote workContract workWork at officeLocal areaImmediate start$41.3k - $70.8k
...creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. The Appeals & Grievances Intake Coordinator II performs... ...grievance regulations This position is a Remote role. To be eligible for consideration, candidates...Remote workWork experience placement$22.49 per hour
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...Remote workHourly payPermanent employmentTemporary workWork experience placementWork from homeHome officeShift work$52k
...highly organized and detail-oriented Biologics Coordinator for a high-volume, multi-location... ...coordination. Role would be fully virtual/remote. Responsibilities: Manage prior authorizations, renewals, and appeals for biologic medications. Coordinate...Remote workHourly payFull time$33.28k - $37.44k
...Results, Accessibility, and Community 100% remote work with no commute [Benefits: PTO,... ...Role We're hiring a Medication Management Coordinator to support our growing Psychiatry /... ...on approvals and denials, and help with appeals. Patient Communication Monitor the medication...Remote workHourly payFull timeLive inWork at officeWork from homeMonday to Friday$50k - $55k
...Our partner is looking for a Specialty Rx Coordinator based in the United States. We are... ...and medical benefit programs in a fully remote environment. In this role, you will serve... ...coordinate prior authorizations, manage appeals, and resolve complex medication-related...Remote workFull timeContract workWork experience placementWork at officeWork from home- ...LOCATION: Remote – The person in this position is required to maintain residency in North... ...STATEMENT OF JOB The Post Transition Coordinator – QP (Post TC) is responsible for... ...recipients provider to ensure they continue to appeal any SSA denials. The Post TC will...Remote workPermanent employmentFull timeWork at officeLocal areaWork from homeShift work
- ...Shift: Day Department: Case Management Remote Monday - Friday 7:30am - 4:00pm Great care starts... ...of admissions via the clinical review and appeal processes. Secondarily, this position supports Care Coordination department efforts in optimizing department communications...Remote workFull timeWork at officeMonday to FridayShift work
$85k
...has an immediate opening for a Utilization Management Coordinator. This key position is a remote office position and needs to be located within the State... ...Gather, analyze and assemble the documents related to appeal, reconsideration, retrospective review and second review...Remote workFull timeContract workTemporary workFor contractorsWork at officeImmediate startFlexible hours- ...Member. About this position: Location: Remote (Within US Only) Required Schedule :... ...timely filing guidelines regarding the appeals process. Contacts payer to negotiate resolution... ...as described. Regular eye-hand coordination and manual dexterity is required to operate...Remote workHourly payFull timeImmediate startMonday to Friday
$70k
...changing landscape and deliver exceptional results. Ecommerce Coordinator Role Overview The Ecommerce Coordinator supports the... ...gathering information and documentation needed for violation appeals or rectifications. ~ Monitor marketplace requirements and...Remote workFull timeFlexible hours- ...Delivery Coordinator We are seeking a highly organised, proactive and resourceful Delivery... ..., subject changes, sanctions, appeals and related academic processes. Maintain... ...with a reliable internet connection for remote work. Equal opportunity employer:...Remote work
$27 - $30 per hour
...model* Job Summary The Utilization Review Coordinator is responsible for obtaining and... ...activities. Assists with denial management, appeals, and requests for additional information... ...of training, this position is primarily remote unless business needs require onsite attendance...Remote work- ...About the job Remote Scheduling Coordinator Remote Scheduling Coordinator If working remotely and having flexibility in your schedule sounds appealing, this opportunity may be worth exploring. We are currently connecting with individuals interested in...Remote workFlexible hours
$20 - $27.14 per hour
...Job Title Prior Authorization Coordinator Job Description At Adult & Pediatric Dermatology... ...care. This is a primarily remote position but you must reside in MA, NH,... ...as required Manage denials and submit appeals to get them approved from insurance companies...Remote workHourly payFull time- ...We require a Remote Travel Coordinator to provide premier customer service to clients. The travel industry continues to grow and with higher demand... ..., and desired budget Customize marketing materials to appeal to clients via social media platforms, bulletin boards, and...Remote workFull timePart timeFlexible hours
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