Average salary: $126,040 /yearly
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- ...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,...SuggestedWork at office
ScionHealth
Philadelphia, PA3 days ago - ...KORE1, a nationwide provider of staffing and recruiting solutions, has an immediate opening for an Appeals & Grievances Coordinator based in southern california and fully remote. Summary: The Temporary Appeals Coordinator supports the Appeals and Grievances...SuggestedTemporary workFor contractorsLocal areaImmediate startRemote work
KORE1 Technologies
San Diego, CA10 hours ago $19.43 - $32.98 per hour
...Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from... ...Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-performance...SuggestedHourly payFull timePart timeWork at officeRemote workFlexible hoursCentene Corporation
Austin, TX18 hours ago- ...Engagement 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 work
w3r Consulting
Detroit, MI3 days ago $66.27k - $99.41k
...Grievance and Appeals Coordinator Salary Range: $66,273 - $99,409 The expected pay range is based on many factors, such as experience, education, and the market. The range is subject to change. FLSA Status: Non-Exempt Department: Grievance and Appeals...SuggestedWork at officeLocal areaWeekend workSanta Clara County Health Plan
San Jose, CA3 days ago$38.2k - $51.6k
...individuals, focusing on prevention and quality care to improve oral health for all. Job Description: We are seeking an Appeals Coordinator who will take the lead in investigating and resolving administrative and clinical appeals according to specific regulatory...SuggestedSun Life
Kansas City, MO1 day ago- ...Coordinator Med Staff Services Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients... ...process in accordance with the facility's fair hearing and appeals policy as well as legal and regulatory requirements. In...SuggestedTemporary workWork at office
New Hampshire Staffing
Portsmouth, NH1 day ago - ...Authorization/Appeal Specialist The Authorization/Appeal Specialist is responsible for filing appeals for all authorization denials... ...team and training and back up all the Authorization Coordinators on the Case Processing team. Essential Duties and Responsibilities...SuggestedMonday to FridayShift work
BioTAB Healthcare
Maryland Heights, MO1 day ago $25.96 - $26.54 per hour
...Data Collection Coordinator We are Maimonides Health, Brooklyn's largest healthcare system, serving over 250,000 patients each year... ...the Nurse Case Manager of the unit should a patient request an appeal of their discharge. Identify and participate in departmental...SuggestedMaimonides Health
Brooklyn, NY4 days ago$21.65 - $46.42 per hour
...Summary Join our dedicated team as a Senior Specialist in Appeals & Grievances Management, where you will play a crucial role in... ...Proven expertise in health claims processing, including coordination of benefits, subrogation, and eligibility criteria. Knowledge...SuggestedHourly payContract workWork experience placementWork at officeMolina Healthcare
Milwaukee, WI4 days ago$38.2k - $51.6k
...value, we aim to make quality care accessible to improve the oral health of all. Job Description: The opportunity: The Appeal Specialist is responsible for the investigation and resolution of all administrative and clinical appeals based upon specific regulatory...SuggestedWork at officeLocal areaFlexible hoursSun Life
Kansas City, MO3 days ago$21 - $26 per hour
...Authorization Coordinator Springfield, IL Join a dedicated healthcare provider supporting patients in the Springfield area. This organization... ...timeframes Manage denied authorizations and lead the appeals process to resolution Communicate authorization issues and...SuggestedHourly payFull timeNew Day Executive Search
Springfield, IL1 day ago- ...Coordinator, Reception & Registration The Coordinator, Reception & Registration serves as the primary point of contact for the Office... ...including course enrollment, graduation requirements, and student appeals. Assist students with registration, transcript requests,...SuggestedPart timeWork at officeShift workAfternoon shift
Utah Staffing
Salt Lake City, UT3 days ago $18.87 - $29.73 per hour
...Intake Coordinator - Gastroenterology Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical... ...and patient's financial responsibility. Submits appeals for authorization denials. Accesses EPIC to retrieve referrals...SuggestedHourly payFull timeWork experience placementShift workChicago Staffing
Chicago, IL10 hours ago$21.65 - $36.77 per hour
...Job Summary Join our dedicated team as an Appeals & Grievances Specialist, where you will play a crucial role in supporting claims... .... Experience in health claims processing, including coordination of benefits, subrogation, and knowledge of eligibility criteria...SuggestedHourly payContract workWork experience placementWork at officeMolina Healthcare
Bothell, WA1 day ago- ...you ready to turn your attention to detail into a rewarding career? Unified Group Services in Anderson, IN is seeking a full-time Appeals Specialist to join our dedicated team. If you're passionate about problem-solving, communication, and making a meaningful impact...Hourly payFull timeTemporary workMonday to Friday
Unified Group Inc
Chesterfield, IN3 days ago $19.01 - $23.72 per hour
...addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures./ppEssential Responsibilities... ..../liliParticipate as pharmacy representative in onsite member appeals and grievances sessions./liliServe as a resource for technical...Local areaNebraska Staffing
Lincoln, NE1 day ago$30 - $50 per hour
...Temporary, Full Time Grievance and Appeals Specialist South Country Health Alliance South Country Health Alliance is seeking a temporary Grievance and Appeals Specialist to join our team! This role is responsible for the management of assigned caseload involving...Full timeContract workTemporary workWork at officeLong distanceSouth Country Health Alliance
Medford, MN3 days ago- ...is expanding and is looking for an eager and detail-oriented coordinator to join our team! In this role, you will deal with complex prior... ...within the patient record, including their expiration dates, appeal requirements or any necessary follow up. Complete confirmatory...Live inRemote workFlexible hours
BJC HealthCare
Saint Louis, MO3 days ago - ...referrals and insurance verifications for patient services. Reviews explanations of benefits for payment accuracy, denials, and appeals. Supports front desk operations in all aspects of patient registration. Minimum Qualifications ~ High School Diploma/GED...Work at officeLocal areaShift workDay shift
Lehigh Valley Hospital
East Stroudsburg, PA3 days ago - ...hard for its culture as it does for its clients. The Practice Coordinator based in our Houston office will play a key role in supporting... ...with the preparation of monthly client invoices and resolve appeals, as necessary Maintain attorney calendars to include...Full timeWork at officeFlexible hours3 days per week
Norton Rose Fulbright LLP
Houston, TX1 day ago - ...PuroClean Client Relations Coordinator PuroClean, a leader in emergency property restoration services, helps families and businesses... ...work. Share our family values from our workplace to theirs, appeal to their needs by showing confidence in your company and assurance...Local areaFlexible hours
IICRC
Centennial, CO2 days ago - ...Intake Coordinator We are looking for an Intake Coordinator (working title: Pre-Clinical Coordinator) to join our team! Are you someone... ...(subsequent URs) to determine duplicate requests, vs. an appeal request that is beyond the allotted timeframe, vs. a reconsideration...
Rising Medical Solutions
Cathedral City, CA10 hours ago $21.65 - $38.37 per hour
...Duties Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members,... .... Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria....Hourly payContract workWork experience placementWork at officeMolina Healthcare
Cleveland, OH4 days ago$60.78k
...Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12883 Salary Range: $60,778.00 (Min.) - $7...Full timeLocal areaRemote workShift workWeekend workL.A. Care Health Plan
Los Angeles, CA3 days ago$25.12 - $38.94 per hour
...Job Brief 1 Opening Pay Range: APPEALS SPECIALIST - $25.12 to $38.94 Job Summary Under the direct supervision of the Business Office Director, the Appeals Specialist is responsible for providing follow-up on past due account receivables and management of...Work at officeHenry Mayo Newhall Hospital
Santa Clarita, CA10 hours ago$40k - $52.3k
...Join our compassionate community and prioritize health! The Grievances and Appeals Specialist manages client concerns and denial cases by thoroughly reviewing clinical documentation to determine the validity of grievances, appeals, or further requests. Utilize your...Temporary workRemote workWork from homeShift workWeekend workHumana
Austin, TX2 days ago- ...The Mental Health Intake Clinician coordinates internal/external admissions and referrals and makes program admission decisions utilizing... ...and necessary pre-certification, re-certification, denial and appeal procedures to maximize reimbursement potential for clinical...Work experience placementWork at officeShift work
VCU Health
Richmond, VA1 day ago $100k - $116.3k
...Overview The UCOP Office of Sustainability (OS) develops, coordinates, and supports sustainability efforts throughout the system, including... ...an investigation for alleged misconduct, or have filed an appeal with a previous employer. "Misconduct" means any violation...Full timePart timeWork at officeLocal areaWeekend workUniversity of California - Office of the President
Oakland, CA4 days ago$68.06k
...nation. Thanks to its mild winters and ample sunshine, the area appeals to a variety of age groups, from retirees to early career... ...related materials should be submitted by 2/17/2026. The Coordinator of Purchasing will provide internal compliance and coordinate...Full timeContract workPart timeH1bLocal areaCollege of Southern Nevada
North Las Vegas, NV10 hours ago
