Average salary: $126,040 /yearly
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$18.5 - $38.82 per hour
...health care one person, one family and one community at a time. Position Summary This position supports the daily processing of appeals in the Commercial Member Clinical Appeals (CMCA). Job functions include but not limited to, completing appeals determination...SuggestedHourly payFull timeWork 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
LanceSoft
Detroit, MI2 days ago - ...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...SuggestedRemote work
Saviance
United States1 day 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-...SuggestedHourly payFull timePart timeH1bWork at officeRemote workFlexible hoursCentene Corporation
United States1 day ago$23 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-...SuggestedContract workTemporary workRemote workTEKsystems
Columbus, OH20 hours ago$53k - $65k
...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...SuggestedLocal areaLHH Recruitment Solutions
Tempe, AZ20 hours ago- ...Job Title 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 grievance or...Suggested
Randstad
West Des Moines, IA7 hours agonew - ...Appeals Coordinator Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has...SuggestedContract workWork at officeMonday to Friday
Integrated Resources
San Diego, CA20 hours ago - ...Job Title: Grievance & Appeals Coordinator I - 210056 Address: Woodland Hills, CA Job Description Coordinate and manage grievance and appeals processes, ensuring compliance with regulatory standards. Review and analyze grievance and appeal cases to determine appropriate...SuggestedFull timeRemote workShift work
A-Line Staffing Solutions
Los Angeles, CA2 days ago - ...Appeals Intake Coordinator The Appeals intake coordinator position is focused on the processing of incoming member and provider Medicare appeals and grievances. This team member will screen incoming complaints and appeals for level of urgency, benefit or medical necessity...Suggested
- ...Appeals And Denials Coordinator The Coordinator-Clinical Appeals is responsible for the support of the daily function and operations of the Billing and Collections department by reviewing and appealing clinical denials as well as retro authorizations. Interfaces with...SuggestedImmediate startShift work
- ...and Other Information Please click HERE to apply. Receive appeal notices and updates, create files for new appeals received, and... ...rendered decision from appeal hearings via SharePoint. Coordinate with responsible parties, such as other LDH appeal staff, the Division...SuggestedWork at office
- ...Appeals Coordinator 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...Suggested
$20 - $36 per hour
Improve the lives of others while Caring. Connecting. Growing together. Job Description - Appeals & Grievances Coordinator - Kelsey Seybold Clinic - Pearland (2388508) Appeals & Grievances Coordinator - Kelsey Seybold Clinic - Pearland - 2388508 Explore opportunities with...SuggestedHourly payMinimum wageFull timeWork experience placementWork at officeLocal area- Alameda Alliance in California is seeking a Grievance and Appeals Coordinator II to review, investigate, and process non-complex grievances for all lines of business. You will ensure timely, accurate written communications and maintain complete records in the electronic...Suggested
$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 -...Contract workWork at officeLocal areaImmediate startRemote 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 to help...Remote jobHourly payMinimum wageFull timeContract workPart timeWork experience placementWork at officeLocal areaShift 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 all member appeals...Contract workRemote work$47.84k
Select how often (in days) to receive an alert: Appeals and Grievances Coordinator I Job Category: Customer Service Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13293 Salary Range: $47,840.00(Min.) -$57,062.00(Mid.) -$68,474.00(Max.) Established...Full timeRemote workShift workWeekend 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 jobHourly 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: 12+ Months Education...Contract workRemote work
$18.5 - $35.29 per hour
Senior Coordinator Complaint Appeals Operations At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company,...Hourly payFull timeLocal areaFlexible hours- NYC based Prestigious legal services firm seeks an E-Billing Analyst to join their team! Responsibilities Prepare and submit appeals for rejected invoices. Logging reduced invoices for all clients. Following up with firm timekeepers to prepare for appeal replies. Negotiating...
$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 and legal...Full timeWork at officeLocal areaShift work- ...our 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
- Banner Plans & Networks is seeking a Grievance and Appeals Coordinator to manage intake, review, investigation, and resolution of grievances, appeals, and provider disputes. This high-volume role requires precise documentation, adherence to timelines, and collaboration...Remote jobMonday to FridayShift work
$39k - $49.4k
...Become a part of our caring community The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...Job Responsibilities: Appeal and Grievance Coordinator Claims research and processing (more of researching why the claim was denied than actually researching into the claim) Authorization lookup/ building authorizations as well as updating authorizations Researching...Remote job
- ...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
- ...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...
