Average salary: $126,040 /yearly
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...Appeals Coordinator at Magellan Health Services in Boise, Idaho, United States Job Description Coordinates appeals process as assigned, attends to risk management issues associated with case management and processes appeal requests. In some cases may be combined with Grievance...
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...volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.
The Appeals Coordinator is responsible for the timely and accurate triaging all appeals, grievances, and complaints that come in to the department,...
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Medicaid Appeals Coordinator needs 2+ years of grievance or appeals experience
Medicaid Appeals Coordinator requires:
~ College degree (minimum of Associates) or equivalent work experience
~2+ years of grievance or appeals experience...
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...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-...
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...Grievance & Appeals Coordinator at Elevance Health in MERIDIAN, Idaho, United States Job Description WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health...
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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...
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...follow-up work with insurance companies via phone to resolve appeals that have been submitted but remain without a determination... ...perform the essential functions as described.
Regular eye-hand coordination and manual dexterity is required to operate office equipment....
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...Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nations top health... ...Responsible for the coordination and timely completion of provider appeals. Serves as a liaison between Fallon Health and contracted and...
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...Grievance and Appeals Coordinator
75 Vanderbilt Ave, Staten Island, NY 10304, USA
Req #660
Friday, May 3, 2024
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision...
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Job Title: Grievance and Appeals Coordinator IContract Duration: 9+ monthsPay Rate: $20-22/hrLocation: Remote - Must reside in CaliforniaWork Hours: Monday- Friday anywhere between 8am-6pm (staggered shifts) Must accept shift given-no flexibility in scheduleQualifications...
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...reside within the state of Arizona.**
**Position Purpose:** Analyze and resolve verbal and written claims and authorization grievance/appeals from providers and members. Resolve all State inquires related to complaints, grievances and appeals.
+ Review and process member...
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...Christian University.Grand Canyon Universitys Academic Compliance and Regulations department is seeking a full time University Appeals Coordinator. Under supervision, this position provides departmental assistance and customer service support within the Appeals department...
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...capitalize on our similarities to better serve our communities. We do it because it's right!Job Description:Job Description:PURPOSE:Coordinate the appeals and grievance process by case intake, prep, response outreach and response tracking. This role supports the Appeals and...
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...between 9am-1pm.
Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused response...
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...organization. Lets be better together.
Position Summary
Investigate and respond to medical, pharmacy and dental grievances, complaints, appeals, and inquiries for the organization. Respond to outside regulatory inquiries as needed.
Pay Range
$20.88- $26.10 hourly (...
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...shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing w Solutions, Pharmacy, Coordinator, Pharmacy Technician, Solution, Health, Healthcare...
...United States***
JOB DESCRIPTION
Job Summary
Responsible for leading, organizing and directing the activities of the Provider Appeals Unit that is responsible for reviewing and resolving provider complaints and communicating resolution in accordance with the...
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...our proven model and approach with others.
A Client Service Coordinator is part of SBP's Build Intervention and supports SBP's clients... ....
- As assigned, assist clients with their application or appeal to FEMA either in person, via phone, or via video platforms such...
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...Responsibilities
JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information...
Full time
Overview: Account Resolution Specialist II
Job Details
Setting: Billing Department
Start Date: 06/10/2024
Duration: 16 weeks
Shift: 8 Hour Days | 36 hours per week
Additional Details: This position will investigate and follow up on claim edits and work...
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