Remote Medicare Appeals Coordinator
Mass General Brigham Incorporated
- Remote job
Mass General Brigham Health Plan is seeking an Appeals Coordinator to coordinate, process, investigate, and document member complaints across Medicare. You will track life cycle, collaborate with internal teams and external vendors, and ensure timely resolution and adherence to policy standards. The role requires knowledge of CMS and other regulators, strong customer service, and the ability to work remotely from most US states. #J-18808-Ljbffr Mass General Brigham Incorporated
$30.6 - $44.51 per hour
...growth opportunities, and much more. The Appeals Coordinator will coordinate, process, investigate,... ...of member complaints across our Medicare line of business. This role will be responsible... .... Ability to function and excel in a remote environment, handling time-critical appeals...Remote workHourly payFull timeCasual workWork at officeMonday to FridayFlexible hours- ...Grievance & Appeals CoordinatorAre you an analytical problem solver with a passion for healthcare managed... ...We are seeking dedicated Grievance & Appeals Coordinators to join our growing, collaborative team! In this fully remote role, you will analyze and resolve complex...Remote workWork from homeHome officeWeekend work
- ...Professional Management Enterprises (PME) seeks a Grievance & Appeals Coordinator I to analyze and resolve verbal and written claims and... ...pursue resolution of formal grievances from members. This remote in Indiana position requires a high school diploma or equivalent...Remote work
- ...Working remotely, the full-time Appeals Management Coordinator will perform denial research, compile appeal bundles, and document processes while ensuring timely... ...preferred Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care Prior...Remote workFull time
$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- ...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...Remote workHourly payWeekly pay
- ...Health Plan Appeals & Grievances Coordinator (California)Immediate need for a talented Health Plan Appeals & Grievances Coordinator (California).... ...opportunity with long-term potential and is located in US (Remote). Please review the job description below and contact me...Remote workContract workLocal areaImmediate start
- ...Working remotely on a full-time basis, the Appeals Coordinator will manage Peer to Peer calls with payers, document information in proprietary systems, and... ...preferred Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines...Remote workFull time
$21 - $25 per hour
...Appeal And Grievance CoordinatorOne of Airetel Staffing's valued... ...for an Appeal and Grievance Coordinator located in Pittsburgh, PA. Job... ...the internal appeal process remote M-F (8-hr shift that will start... ...standards, including the Center for Medicare and Medicaid Services (CMS)...Remote workShift 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:...Remote workContract work
$17 - $21.5 per hour
...eager to learn new skills and help adults in need? As an Appeals Coordinator you will represent the customer, the Louisiana Department of... ...with presentations of summaries of evidence. In this remote role, you will: Review decision/denial letters on new...Remote workHourly payMinimum wageCurrently hiringWork at officeLocal areaWork from homeFlexible hours- ...Job Title Job Description Process appeals and grievances, analyze, research, and provide... ...and regulatory provisions. This is a Remote Role Experience Experience handling... ...a fast-paced environment. Insurance, Medicare/Client knowledge Writing Letters...Remote workContract workApprenticeshipLocal area
$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... ...requirements Familiarity with Medicare or Medicaid guidelines Strong communication...Remote workContract workWork at officeLocal areaImmediate start$19.43 - $32.98 per hour
...workplace flexibility. Location: Position is remote. Must live in Arizona. Position Purpose... ...and provider complaints, grievances and appeals Prepare response letters for member and... ...individual appeals and grievances May coordinate the Grievance and Appeals Committee...Remote workHourly payFull timePart timeLive inWork at officeFlexible hours$22.99 per hour
...analyze and resolve verbal and written claims and authorization appeals from providers, as well as pursue the resolution of formal... ...member and provider complaints, grievances, and appeals. Workflow Coordination: Build authorizations for medical review and coordinate the...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeShift 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$60.2k - $107.4k
...Appeals & Grievances Coordinator (A&G)This position is remote in New Mexico. You will have the flexibility to work remotely as you take on some tough challenges.At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing...Remote workMinimum wageFull timeContract workWork experience placementLive inWork at officeLocal areaMonday to FridayShift 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
- ...Medical Management/Health Services team. This remote role requires residing in Arizona and... ...and provider claims, grievances, and appeals to drive timely resolutions. Responsibilities... ...letters, maintaining case files, coordinating committees, supporting pay-for-performance...Remote job
- Centene Corp. is seeking a clinical professional to support the Illinois Medicaid grievance and appeals processing team in a remote capacity. The role follows a 8:00 AM-5:00 PM Central Time schedule with on-call duties on some weekends, ensuring timely case processing....Remote jobWeekend work
- ...Health & Hospice is seeking a reimbursement coordinator to manage account payments and submit... ...claims. This role is eligible for 100% remote work, provided the employee resides in a... ...following payor guidelines. Experience with Medicare billing and strong computer/typing...Remote job
$18 - $21 per hour
...Reimbursement Coordinator I, Medicare The Reimbursement Coordinator I, Medicare is responsible for... ...This position is eligible for 100% remote but the employee must reside in a state... ...rejected and denied claims. Prepare appeals to denied claims. Maintain communications...Remote work$22.99 per hour
...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,...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeHome officeShift workWeekend work$20 - $36 per hour
...Medicare Appeals, Grievances, and Complaints Manager Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses... ...part 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- ...functions that currently consume payer 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...
- ...seeking a Senior Manager of Quality Assurance and Audit to lead strategic QA programs for Grievance & Appeals across Medicare, Medicaid, and Duals. The role directs a remote team of Quality Analysts, drives regulatory readiness, and partners cross-functionally to improve...Remote work
- ...POSITION DESCRIPTION Position: Editorial Coordinator - Society of Biological Psychiatry... ...Society of Biological Psychiatry Location: Remote ----------------------------------------... ...process decision letters. • Manage author appeals. • Receive and verify completed reviews;...Remote workWork at officeWork from homeFlexible hours
$21.4 - $30.6 per hour
...rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for... ...experience, preferred Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial... ...hours of Monday-Friday, 7:00am- 7:00pm CST. REMOTE DETAILS: You will work remotely, full-time...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaMonday to FridayFlexible hoursShift work$61.5k - $73.37k
...students on the college-going pathway. The EPC coordinates new and long-standing student academic... ...able to work successfully from a home/remote office and be able to fulfill the... ...involving misconduct; or have filed an appeal of a finding of misconduct with a previous...Remote workFull timeContract workPart timeFor contractorsSummer workWork at officeWork from homeShift workAfternoon shift
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