Average salary: $47,010 /yearly
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$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-performance...SuggestedHourly payFull timeContract workPart timeH1bWork at officeRemote workFlexible hours$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- ...Health Services team. This remote role requires the ability to analyze and resolve claims and authorization appeals while managing grievances. Ideal candidates will have at least 2 years of experience in claims or managed care, strong analytical skills, and a high school...SuggestedRemote jobFlexible hours
- A healthcare organization is seeking a Grievance Coordinator to manage member concerns related to Medicare Advantage plans. This remote role requires strong communication skills and the ability to document interactions accurately. Candidates should have at least one year...SuggestedRemote job
- ...including information technology, financial analysis, audit, provider relations and more. Position Purpose The Appeals and Grievance Coordinator is responsible for the processing and resolution of appeals, grievances and disputes from members and providers What You Will...SuggestedRemote jobFull timeContract workTemporary workLocal areaRelocation packageMonday to FridayShift workDay shift
- Job Overview Akkodis is partnering with a local Health Plan who is hiring a Grievance Coordinator for a temporary 3-month contract. Terms Temporary 3-month contract Remote (must pick up equipment) $28/hr W2 Qualifications 3+ years’ experience as a Service Representative...SuggestedTemporary workLocal areaRemote work
$34.8 - $52.21 per hour
A health services organization in California is seeking a D-SNP Grievance and Appeals Coordinator III. The role involves reviewing and processing grievances and appeals while ensuring compliance with state and federal regulations. Candidates should have at least 2-3 years...SuggestedHourly payWork at office- A major healthcare provider in Columbus, Ohio is looking for an Appeals and Grievance Coordinator. The role involves processing appeals and grievances from members and providers, ensuring compliance with CMS guidelines, and conducting investigations. Candidates should have...SuggestedTemporary work
- A healthcare provider is seeking an A&G Coordinator to manage and respond to appeals and grievances from members and providers. This role requires excellent written and verbal communication skills, a strong attention to detail, and the ability to manage multiple tasks....Suggested
$20.38 - $36.44 per hour
...part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi‑specialty clinic, we offer care... ...Advantage Operations Department, including Appeals & Grievances, Enrollment, Premium Billing, Eligibility, Intake, and Regulatory...SuggestedRemote jobHourly payMinimum wageFull timeWork experience placementLocal area$34.8 - $52.21 per hour
...of their first day of employment. Principal Responsibilities Under general direction of the Grievance and Appeals Leadership, the D‑SNP Grievance and Appeals (G&A) Coordinator III will review, analyze and process grievances and appeals for the D‑SNP line of business and...SuggestedHourly payLocal area$20 per hour
Grievance Coordinator - Medicare (remote MA only) Remote but with on-site Training in Hingham, MA. Per company policy, only candidates currently living in Massachusetts will be considered. Equipment Provided. Pay: $20/hour, Paid Training Included. We’re seeking a highly...SuggestedRemote jobWork at office$30 - $32 per hour
Overview Immediate need for a talented Grievance and Appeals Coordinators . This is a 06+months contract opportunity with long-term potential and is located in Portland, CA(Hybrid) . Job ID: 25-81619 Base pay range: $30.00/hr - $32.00/hr Responsibilities Manage grievances...SuggestedContract workLocal areaImmediate start$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$18.5 - $31.72 per hour
...community at a time. Position Summary MUST LIVE IN LOUISIANA Coordinate effective resolution of member or provider/practitioner appeals... ...Responsible for managing to resolution of appeals, complaints and grievances scenarios for all products, which contain multiple issues and...SuggestedHourly payFull timeWork experience placementLive inLocal areaFlexible hours$17 - $25.65 per hour
...Louisiana. Responsible for intake, investigation and resolution of appeals, complaints and grievances scenarios for all products, which may contain multiple issues and may require coordination of responses from multiple business units. Ensure timely, customer focused response...Hourly payFull timeContract workLive inLocal areaFlexible hours- ...LLC is seeking an experienced and highly organized Designated Coordinator who is knowledgeable in Minnesota 245D Home and Community-... ...guardians, families, and direct support professionals Ensure grievance and complaint procedures are properly documented and compliant...Full timeWork from home
Northeastern Home Group LLC
Minneapolis, MN8 days ago - ...regulatory standards What is Required (Qualifications) High school diploma or GED Minimum of 3 years of experience in an Intake Coordinator role or relevant experience in a health plan, managed care organization, or third‑party administrator Ability to read, write,...Immediate startRemote workFlexible hours
- A healthcare services organization in New York seeks an Intake Coordinator to process appeal requests accurately. The role involves reviewing cases, ensuring compliance, and managing workloads. Candidates must have a high school diploma, a minimum of 3 years of relevant...Remote job
- A national healthcare organization is looking for a clinical professional to join its Medical Management/Health Services team. Located in Arizona and allowing remote work, the role involves analyzing and resolving claims and authorization appeals, managing documentation...Remote job
- ...health care coverage plans that include individual and family, dental and vision, plans for employers, etc. Title: Grievance & Appeals Coordinator Work Location: Remote Duration: 8 Months Job Type: Temporary Assignment Work Type: Remote Dept...Temporary workRemote work
- ...completing the appeal. Extensive training on internal and external systems and the internal appeal process Skills: ~ Appeals& Grievance, Medicaid, Medicare Education/Experience: At least 1 year of experience in health insurance claims and appeals is strongly...Remote job
- ...Job Description Job Description Transaction Coordinator Commercial Real Estate ,100% In-Office Our client is hiring a high-performing Transaction Coordinator to be the analytical engine behind a dynamic brokerage team. This role supports commercial transactions...Work at officeRemote work
Real Estate Personnel
Greenwood Village, CO3 days ago $77.2k - $96.5k
Overview Supervises and monitors department staff members' handling of grievances and appeals for all product lines, and ensuring compliance with state and federal regulatory requirements and timelines. Responsible for oversight of the subcontractors who have been delegated...Work experience placementFor subcontractorFlexible hoursWeekend work- A public health agency in Los Angeles is looking for a Supervisor for the Customer Solution Center Appeals and Grievances. The role involves overseeing a team responsible for resolving complex appeals and grievances while ensuring compliance with regulatory requirements...Remote job
$19.01 per hour
...addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. ESSENTIAL... ...Participate as pharmacy representative in onsite member appeals and grievances sessions. Serve as a resource for technical staff. Other...For contractorsLocal areaHighmark Health
Salt Lake City, UT21 hours ago- ...Medicare Supplement, and individual plans. Medicare Pharmacy Coordinator I Job Summary: Working under general supervision,... ...Coverage Gap Discount, Coverage Determinations and Appeals, Grievances, and Medicare marketing material requirements. Assists in...Casual workWork at officeRemote work
Medical Mutual
Brooklyn, OH1 day ago - ...underserved communities. About the Role: The Dental Treatment Coordinator plays a pivotal role in bridging the gap between patients and... ...service and satisfaction able to deescalate patient grievances effectively and satisfy patient dental treatment inquiries as...Contract workWork at officeLocal area
Dental Dreams
Columbia, SC2 days ago - ...Process by maintaining timely communication with case managers, coordinating assessments and intakes, and ensuring all required... ...about missing documents or delays in activation and provide grievance information as appropriate. • Maintain a professional and welcoming...Full timeWork at office
S T A R-STAND TOGETHER AND RECOVER CENTERS, Inc.
Phoenix, AZ1 day ago - ...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...Full timePart timeWork at officeLocal areaImmediate start
Virginia Western Community College
Roanoke, VA3 days ago
