- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Appeals and Grievance Specialist performs reviews, within operational aspects, of the member and provider complaints, appeals and ... of cases; review, research and coordination of complaints, grievances, appeals and reconsiderations consistent with statutory and federal regulatory guidelines.… more
- Molina Healthcare (MI)
- …claims appeals and grievances using support systems to determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, ... **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances, and/or complaints from Molina members, providers, and… more
- State of Colorado (Denver, CO)
- …career that makes a difference and build greater public confidence in good government , consider joining the dedicated people of the State of Colorado. Our ... professionals strive to support state government and the citizens of Colorado. Customer service is a key component for every position in state government as is… more