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...JOB TITLE: Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt
DEPARTMENT: Appeals and Grievances
REPORTS TO: Supervisor, Appeals & Grievances
JOB SUMMARY: Responsible for reviewing and resolving member complaints and appeals and communicating resolution...
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Local area
...Job Title: Grievance and Appeals Coordinator I
Contract Duration: 9+ months
Pay Rate: $20-22/hr
Location: Remote - Must reside in California
Work Hours: Monday- Friday anywhere between 8am-6pm (staggered shifts) Must accept shift given-no flexibility in schedule...
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Remote job
Contract work
Temporary work
Part time
Flexible hours
Shift work
Monday to Friday
...Gathers information and resolves customer concerns presented as a grievance or appeal. Works closely with internal departments and... ...and requirements for timeliness.
Analyzes data collected and coordinates with member's treating providers and pertinent departments to...
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Local area
Weekend work
Afternoon shift
...Candidates will reside near our Office Locations:
Tustin, CA - Las Vegas, NV - Oklahoma City, OK - Uniondale, NY - Tampa, FL
The Grievances and Appeals Analyst I will be responsible for investigating and resolving member, Health Plan Partner-member and network provider...
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Hourly pay
Holiday work
Full time
Immediate start
Remote job
Relocation
Visa sponsorship
Shift work
...appropriate language for letters and prepare responses to appeals and grievances.
Elevates appropriate appeals to the Appeals Specialist.... ...letters.
Assists with interdepartmental issues to help coordinate problem solving in an efficient and timely manner....
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...for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving... ...).
Health claims processing background, including coordination of benefits, subrogation, and eligibility criteria.
Familiarity...
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Contract work
...multidisciplinary team, responsible for clinical oversight of assigned grievance and
appeal cases. Utilizes clinical judgement in the... ...and linguistic needs. Takes appropriate actions.
In coordination with the Grievance & Appeal Case Analyst, may contact members...
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Contract work
Immediate start
Remote job
...$22.56/hour - $31.00/hour
Under the supervision of the MS Grievance & Appeals Manager, this position will provide for the administrative... ...understanding of CenCal Health's benefits and any applicable coordination of benefits.
Duties and Responsibilities
Analyze member...
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Full time
...The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints. The Appeals and Grievances Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be respo Appeals, Representative...
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...Your Role
The Appeals and Grievances team receives, documents, investigates, refers, and coordinates grievances, appeals and complaints . The Appeals and Grievances Coordinator will report to the Appeals and Grievances Supervisor. In this role you will be responsible...
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...affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare...
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Work experience placement
...from consumers of mental health services and/or family members, or other concerned individuals (e.g. social workers, etc.) who have grievances regarding their mental health or substance abuse treatment provided via Alameda County Behavioral Health Care (ACBH). This...
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Hourly pay
Holiday work
Full time
...Job Description
Job Description Job Summary
The Grievance Resolution Specialist coordinates the Grievance and Appeal resolution process, responds to verbal and written Grievances and Appeals from members and/or providers relating to member eligibility and benefits...
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Local area
...teams. We are currently looking to hire a Human Resources (HR) Coordinator based in our Chatsworth, California manufacturing plant!... ...Post union job bids, award bids and log them. Track union grievances. Manage weekly and monthly reports to the union (hires, terms...
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...Position Title: Project Labor Coordinator
Salary Range: $88,000 - $95,000
Location: Onsite (Los Angeles, CA)
Type: Full-Time... ...facilitates, and tracks PSA Pre Job Conferences, Mark Up meetings, Grievances, Arbitration, and other PSA related meetings.
Assists in...
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...Education, Administration,& Leadership, the Residential Education Coordinator (REC) assists in implementing the mission, vision, and values... ...of the Dean of Students in addressing student concerns and grievances by providing advocacy, support, and mediation as necessary....
Holiday work
Full time
Summer work
Immediate start
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Afternoon shift
...South Valley Opportunity - Construction Coordinator with Excellent Attention to Details
This Jobot Job is hosted by: Sunshine Pennington
Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume.
Salary: $65,000 - $80,000 per year...
Holiday work
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Monday to Friday
...sending us your resume.
Salary: $60,000 - $75,000 per year
A bit about us:
We are seeking a dynamic, detail-oriented Legal Coordinator to join our team. This is a permanent position that offers a unique opportunity to work in a fast-paced, high-stakes environment....
Permanent employment
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...administration, staff and physicians. Directs, monitors and coordinates the patient complaint management program, and intervenes to provide... ....
Coordinates, investigates and resolves consumer grievances concerning the quality of care and services and, ADA complaints...
...the direction of Utilization Management (UM) leadership, the UM Coordinator processes prior authorization with established criteria.... ...and regulatory bodies. This position keeps accurate appeals and grievance intake and outcome. The UM coordinator takes minutes and help...
