- Molina Healthcare (Chandler, AZ)
- Molina Healthcare is hiring for a Medicare Appeals & Grievances Specialist . This position is remote and will be working Pacific Standard hours. Highly ... **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances , and/or complaints from Molina members, providers,… more
- Cognizant (Phoenix, AZ)
- ** Provider Appeals & Grievances Specialist ** (remote) This is a remote position open to any qualified applicant that lives in the United States. ... **Summary:** We are seeking a dedicated Provider Appeals & Grievance Specialist ...directly with CMS Billing and Coding-Medical Insurance Knowledge of Member/ Provider Appeals and Grievances , processes,… more
- Molina Healthcare (Chandler, AZ)
- Molina Healthcare is hiring for an Appeals & Grievance Specialist . This role is 100% remote and will work in the Pacific Time Zone. This role provides support ... **Essential Job Duties** + Facilitates comprehensive research and resolution of appeals , disputes, grievances , and/or complaints from Molina members, providers,… more
- Molina Healthcare (Phoenix, AZ)
- …+ Responsible for the comprehensive research and resolution of the appeals , dispute, grievances , and/or complaints from Molina members, providers ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Molina Healthcare (Chandler, AZ)
- …and prepare responses to appeals and grievances . + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. ... **Job Summary** Responsible for reviewing and resolving member & provider complaints and communicating resolution to members (or authorized) representatives… more
- Molina Healthcare (Phoenix, AZ)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving ** Provider No Surprises Act** cases in accordance with the standards and ... Job Duties** * Responsible for the comprehensive research and resolution of ** Provider No Surprises Act** cases to ensure that internal and/or regulatory timelines… more