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- ...setup and assignment) of Medicare Part C and D grievances and appeals; provides administrative, clerical, and other related support... ...mail, fax, inter-office, and other outbound correspondence. Coordinate with enrolled members and providers submitting grievances and...SuggestedWork experience placementWork at officeRemote work1 day per week
Blue Cross Blue Shield of Arizona
United States1 day ago $19.43 - $32.98 per hour
Grievance & Appeals Coordinator I page is loaded## Grievance & Appeals Coordinator Ilocations: Remote-AZ: Tempe - 1850 W. Rio Salado Pkwy, Ste 211 (US Script)(10312)time type: Full timeposted on: Posted Todayjob requisition id: 1629791You could be the one who changes everything...SuggestedFull timePart timeWork at officeRemote workFlexible hours$20.98 - $31.46 per hour
...our members, partners, colleagues and communities. Learn more about who we are at Point32Health. Job Summary The Appeals and Grievance (A&G) Coordinator is responsible, per State and Federal regulations, for assisting with all operational aspects of the Appeals and Grievances...SuggestedWork at officeWork from homeFlexible hoursAfternoon shift- A healthcare organization in Tempe is seeking a Grievance & Appeals Coordinator I to analyze and resolve claims and authorization appeals from providers. Responsibilities include preparing response letters for member complaints, maintaining files on appeals, and assisting...SuggestedRemote jobFlexible hours
$53.38k - $72.22k
The Appeals & Grievances Coordinator is responsible for the accurate and timely processing of appeals and grievances in compliance with regulatory requirements and organizational policies. This role plays a critical part in ensuring member satisfaction, regulatory compliance...SuggestedTemporary workWork at officeRemote work- 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...Suggested
- Primary City/State: Phoenix, Arizona Department Name: Grievances & Appeals Work Shift: Day Job Category: General Operations Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is...SuggestedWork experience placementWork at officeRemote workMonday to FridayFlexible hoursShift work
$30 - $32 per hour
Immediate need for a talented Grievance and Appeals Coordinator . This is a 6+ months contract opportunity with long-term potential, located in Corona, California (Hybrid) . Please review the job description below and contact us ASAP if interested. Pay Range $30.00/hr...SuggestedContract workImmediate start- A leading healthcare organization is seeking an Appeals Coordinator to manage and document member appeals for Medicare. This remote role requires strong customer service and communication skills, along with 3-5 years of experience in health plans, ideally with Medicare...SuggestedRemote jobFull time
- Overview Sentara Health Plans is hiring a Member Appeals and Grievances Coordinator - Remote in Virginia! Status: Full-time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F Location: Remote in Virginia Job responsibilities Responsible for the...SuggestedRemote jobPermanent employmentFull timeTemporary 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...SuggestedRemote 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...SuggestedContract workRemote work- ...offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more. The Appeals Coordinator will coordinate, process, investigate, and document all aspects of member complaints across our Medicare line of business....SuggestedFull timeWork at officeRemote workFlexible hours
- ...Appeals & Grievances Coordinator An employer is looking for a remote Appeals & Grievances Coordinator who will be responsible for managing and resolving appeals and grievances related to dental insurance claims. This role requires strong analytical and communication...SuggestedRemote work
$22 - $24 per hour
...Appeals Coordinator Level I Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission...SuggestedHourly payFull timeRemote work- ...authorizations as well as updating authorizations Researching outside vendor sites for authorizations and reviewing notes -Reviewing appeal letters to determine what the provider is appealing -Responsible for starting the appeal process and researching the appeal....Remote job
$27.02 - $48.55 per hour
...on workplace flexibility. Position Purpose The Supervisor of Appeals & Grievances is accountable for the recruitment, hiring, promotion... ...provider disputes. This position is also responsible for the coordination of the resolution of grievance situations requiring competent...Hourly payFull timePart timeWork at officeRemote workFlexible hours- A leading health insurance provider is hiring a Supervisor, Appeals and Grievances for Medicaid, remote in Virginia. In this role, you will oversee daily operations, lead Appeals efforts, and manage a team. Candidates must have a Bachelor's degree or significant experience...Remote job
- Supervisor of Grievance & Appeals VillageCare MAX 112 Charles Street, New York, NY 10014 Salary: $68, 163.00 - $76, 683 annually Must reside in NY, NJ or CT Responsibilities The Supervisor of Grievances and appeal grievances oversees the investigations and resolution...Contract workWork from home
$68.06k
...Coordinator of Purchasing The College of Southern Nevada appreciates your interest in employment at our growing institution. We ask... ...nation. Thanks to its mild winters and ample sunshine, the area appeals to a variety of age groups, from retirees to early career professionals...Full timeContract workPart timeH1bCollege of Southern Nevada
North Las Vegas, NV2 days ago- ...NC border. GENERAL STATEMENT OF JOB The Post Transition Coordinator - QP (Post TC) is responsible for providing proactive intervention... ...the members/recipients provider to ensure they continue to appeal any SSA denials. The Post TC will confirm ongoing CLA monthly...Permanent employmentFull timeLive inWork at officeLocal areaRemote workWork from homeMonday to FridayShift work
Vaya Health
Marshall, NC2 days ago - ...Marketplace Enrollment and Appeals Specialist (PA2) Limited Duration The Marketplace Enrollment and Appeals Specialist serves as... ...capacity for the knowledge and skills; and two years experience coordinating or administering a program OR Any combination of experience or...Full timeContract workFor contractorsWork experience placementRemote work
State of Oregon
Portland, OR4 days ago $19.39 per hour
...addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. ESSENTIAL... ...review. Participate as pharmacy representative in onsite member appeals and grievances sessions. Serve as a resource for technical...For contractorsLocal areaHighmark Health
Oklahoma City, OK1 day ago- ...Prior Authorization Coordinator Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy... ...Initiating and securing prior authorizations, pre-determination, and appeals Ability to interpret payor contract fee schedules based on...Contract workWork at officeRemote workMonday to Friday
Soleo Health
Frisco, TX1 day ago $2,954.4 - $5,360 per month
...position performs independently to provide UC Davis/UC Davis Health coordination of collective bargaining activities related to confidential... ...proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. A Culture...Full timeContract workTemporary workPart timeLocal areaRemote workShift workUniversity of California- Davis Health
Sacramento, CA14 hours ago- ...Appeal Specialist I - Work from home Within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's dedicate Appeals Specialist...Work from home
Cambia Health Solutions
Salt Lake City, UT2 days ago $61.12k - $75.98k
...San Diego, CA 92093, United States #138404 Authorization Coordinator - Dove Canyon - RB Filing Deadline: Thu 4/9/2026 Apply... ...billing Insurance Claims. Extensive knowledge in Insurance claims appeals, and range of knowledge in ICD-9, CPT, HCPCS, coding...Hourly payDaily paidLocal areaUC San Diego
San Diego, CA2 days ago$26.53 - $31.13 per hour
...Engineering degree program (pending campus approval), offered in coordination with the school-wide Samueli School of Engineering program.... ...disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. The...Work experience placementWork at officeLocal areaWorldwideUniversity Of California Irvine
Irvine, CA4 days ago- ..., San Diego, CA 92037, United States #138901 Fellowship Coordinator - Medicine Filing Deadline: Wed 4/8/2026 Apply Now UC... ...determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous...Hourly payTraineeshipWork at officeLocal areaAfternoon shift
UC San Diego
San Diego, CA4 days ago - ...Medicare Supplement, and individual plans. Medicare Pharmacy Coordinator I Job Summary: Working under general supervision,... ...providers, and pharmacies to initiate coverage determinations/appeals, prescription refills, and switch members to lower cost therapeutic...Casual workWork at officeRemote work
Medical Mutual
Brooklyn, OH2 days ago
