Average salary: $47,010 /yearly

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  • Grievance & Appeals Coordinator

     ...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. Conduct... 
    Suggested
    Contract work
    Apprenticeship
    Local area
    Remote work

    LanceSoft

    Detroit, MI
    3 days ago

  • Grievance & Appeals Coordinator I

    $19.43 - $32.98 per hour

     ...authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written...  ...Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-... 
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    Hourly pay
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours

    Centene Corporation

    Austin, TX
    22 hours ago

  • Appeals & Grievances Coordinator

     ...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... 
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    Temporary work
    For contractors
    Local area
    Immediate start
    Remote work

    KORE1 Technologies

    San Diego, CA
    14 hours ago

  • Grievance Coordinator

     ...Position Purpose: The Grievance Coordinator is responsible for managing, investigating, and resolving patient grievances and complaints in compliance with applicable federal and state regulations, accreditation standards, and organizational policies. This position... 
    Suggested
    Temporary work
    Work at office

    JWCH Institute

    Los Angeles, CA
    3 days ago

  • Grievance and Appeals Coordinator

    $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... 
    Suggested
    Work at office
    Local area
    Weekend work

    Santa Clara County Health Plan

    San Jose, CA
    3 days ago

  • Vendor Management Coordinator (On-Street Parking Program Manager)

     ...operational efficiency. This position is a key member in the coordination of the City's special events and development projects impacting...  ...of the public, and the media. Investigate ADA complaints/grievances with respect to parking in the PROW, and coordinate with CDOT... 
    Suggested
    For contractors
    Work at office
    Local area
    Long distance

    City of Charlotte

    Charlotte, NC
    2 days ago

  • Grievance and Appeals Specialist

    $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... 
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    Full time
    Contract work
    Temporary work
    Work at office
    Long distance

    South Country Health Alliance

    Medford, MN
    3 days ago

  • Senior Specialist, Appeals & Grievances Management

    $21.65 - $46.42 per hour

     ...Join our dedicated team as a Senior Specialist in Appeals & Grievances Management, where you will play a crucial role in resolving member...  ...Proven expertise in health claims processing, including coordination of benefits, subrogation, and eligibility criteria. Knowledge... 
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    Hourly pay
    Contract work
    Work experience placement
    Work at office

    Molina Healthcare

    Austin, TX
    4 days ago

  • Specialist, Appeals & Grievances

    $21.65 - $38.37 per hour

     ...comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related...  ...experience. Health claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria.... 
    Suggested
    Hourly pay
    Contract work
    Work experience placement
    Work at office

    Molina Healthcare

    Cleveland, OH
    4 days ago

  • Grievances and Appeals Specialist

    $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... 
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    Temporary work
    Remote work
    Work from home
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    Weekend work

    Humana

    Austin, TX
    2 days ago

  • Customer Solution Center Appeals and Grievances Specialist II

    $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.) - $... 
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    Full time
    Local area
    Remote work
    Shift work
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    L.A. Care Health Plan

    Los Angeles, CA
    3 days ago

  • Appeals & Grievances Specialist

    $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... 
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    Hourly pay
    Contract work
    Work experience placement
    Work at office

    Molina Healthcare

    Bothell, WA
    1 day ago

  • Coordinator of Nursing

     ...Coordinator of Nursing Virginia Western Community College is a two-year public institution of higher education operating under the...  ...supervises part-time clinical instructors, handles student grievances, coordinates the nursing curriculum with other degree program... 
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    Full time
    Part time
    Work at office
    Local area
    Immediate start

    Virginia Western Community College

    Roanoke, VA
    3 days ago

  • Posting Coordinator, Bureau of Human Resources and Labor Relations

    $10k

     ...Posting Coordinator, Bureau of Human Resources and Labor Relations The Bureau of Human Resources and Labor Relations is seeking to...  ...ensure they are aligned with each other to minimize out of title grievances. If there are issues with job responsibilities and the civil... 
    Suggested
    Work at office
    Work from home
    2 days per week

    NYC Department of Health and Mental Hygiene

    New York, NY
    2 days ago

  • Member Enrollment Coordinator

     ...Member Enrollment Coordinator Do you enjoy helping people, solving problems, and making every call count? As a Member Enrollment Coordinator...  ...) Escalate unresolved cases and pending member grievances. Utilize the Salesforce CRM database to verify member data... 
    Suggested
    Work from home
    Home office

    PrudentRx

    Tampa, FL
    3 days ago

  • Pharmacy Coordinator

    $19.01 - $23.72 per hour

     ...addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures./ppEssential...  ...liliParticipate as pharmacy representative in onsite member appeals and grievances sessions./liliServe as a resource for technical staff./... 
    Local area

    Nebraska Staffing

    Lincoln, NE
    1 day ago

  • Dental Treatment Coordinator (Greenville)

     ...Dental Treatment Coordinator Family Dental LLC is a dynamic, growing company in South Carolina. Our mission is to provide high-quality...  ...service and satisfaction Able to deescalate patient grievances effectively and satisfy patient dental treatment inquiries as... 
    Contract work
    Work at office
    Local area

    Dental Dreams

    Greenville, SC
    2 days ago

  • Coordinator- HR

     ...union environment. Job Responsibilities ~ Coordinating all Recruitment & Selection activities (e.g., processing...  ...Manager and provide guidance to them by sitting in any union grievance meetings. ~ Prepare and process employee HRIS transaction... 
    Work experience placement
    Work at office

    OSI Group

    Geneva, IL
    14 hours ago

  • Coordinator, Patient Relations

     ...Overview The Coordinator, Patient Relations core function entails compiling, processing and sending all patient documentation to insurance plans and other agencies as requested for the grievance process. The coordinator is the key compiler and expeditor of patient... 
    Work experience placement
    Local area

    PDS Health

    Irvine, CA
    1 day ago

  • Coordinator of Patient Relations

    $27.19 per hour

     ...wellness through excellent, compassionate care for all. The Coordinator of Patient Relations is a mission-driven professional...  ...day intake, tracking, and resolution of patient complaints and grievances, ensuring each concern is addressed promptly, compassionately... 
    Temporary work
    Work at office
    Flexible hours

    Marin Community Clinics

    Novato, CA
    3 days ago

  • Appeals Coordinator

    $38.2k - $51.6k

     ...for all. Job Description: We are seeking an Appeals Coordinator who will take the lead in investigating and resolving administrative...  ...in resolving overturns. Collaborate with the Complaint & Grievance team to address common issues and trends. Work closely with... 

    Sun Life

    Kansas City, MO
    1 day ago

  • MDS Coordinator

    $46 - $60 per hour

     ...that assessments are done in an accurate and timely manner. Coordinates the care plan as according to regulatory requirements. Create...  ...environment throughout the unit and shift. Review complaints and grievances made or filed by your assigned personnel. Make appropriate... 
    Traineeship
    Work at office
    Shift work

    PACS Inc

    Menlo Park, CA
    4 days ago

  • Surgery Coordinator - Traveling

     ...to new or junior personnel as needed. C. Scheduling and Coordination Schedules procedures, coordinate with physicians, anesthesia...  ...listening. Service-oriented and able to resolve customer grievances. Proficient in computer skills with the ability to learn... 
    Work at office
    Immediate start

    SKIN AND CANCER INSTITUTE

    Valencia, CA
    22 hours ago

  • Clinic Coordinator - (Mon-Fri 10am-6:30pm)

     ...Practice Manager and working under the guidance of the Lead Clinic Coordinator, this mission critical position is responsible for the...  ...internal and external customers Ability to deescalate patient grievances, and maintain customer service standards, and involve floor... 

    Boston Staffing

    Boston, MA
    1 day ago

  • RN Coordinator - Clinical Performance Improvement

    $34 - $50.99 per hour

     ...RN Coordinator - Clinical Performance Improvement SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 Hours / Days *...  ...guidelines for processing beneficiaries' quality of care (QOC) grievances. Meets CMS timeliness for completing a QOC review. Prepares... 
    Daily paid
    Full time
    Temporary work
    Work at office
    Flexible hours

    Summa Health System

    Akron, OH
    4 days ago

  • Lead Specialist, Appeals & Grievances

    $21.65 - $46.42 per hour

     ...lead for submission, intervention and resolution of appeals, grievances, and/or complaints from Molina members, providers and related...  ...experience. Health claims processing experience, including coordination of benefits, subrogation and eligibility criteria.... 
    Hourly pay
    Contract work
    Work experience placement
    Work at office

    Columbus Staffing

    Columbus, OH
    1 day ago

  • Staff Coordinator

     ...THE FOREST AT DUKE JOB DESCRIPTION POSITION: Staffing Coordinator DEPARTMENT: Health Services SUPERVISOR: Home Care...  ...and maintains written records of all resident complaints and grievances. Physical and Sensory Requirements of the Above Functions... 
    Work at office
    Monday to Friday
    All shifts
    Flexible hours
    Shift work
    Weekend work

    The Forest at Duke

    Durham, NC
    14 hours ago

  • Experience Coordinator - CNA

     ...spirit. Planning and Time Utilization: Consistently plans/coordinates work to achieve maximum productivity and efficiency without sacrificing...  ...Handbook. Report to supervisor all complaints and grievances made by residents, families, visiting individuals, agencies,... 
    Contract work
    Local area
    Immediate start

    Thrive at Augusta

    Augusta, GA
    4 days ago

  • Staffing Coordinator/Infection Prevention Nurse

     ...Staffing Coordinator The primary purpose of your job position is to ensure adequate and appropriate staffing of the facility nursing...  ...in which work will be accomplished. Review complaints and grievances pertinent to scheduling and staffing. Make necessary oral/... 
    Work at office
    Immediate start
    Weekend work

    PACS Inc

    Lexington, KY
    2 days ago

  • PHLpreK Enrollment & Referral Coordinator

     ...Time JOB OVERVIEW: The PHLpreK Enrollment and Referral Coordinator leads the implementation of the PHLpreK enrollment process,...  ...effectively report on activity and trends for the call center, grievances, and exit surveys from discharged families about the PHLpreK.... 
    Full time
    For subcontractor
    Work at office
    Weekend work
    Afternoon shift

    PHMC

    Philadelphia, PA
    22 hours ago