- Conduent (East Hartford, CT)
- …be part of a culture where individuality is noticed and valued every day. ** Appeals Coordinator - Customer Experience Associate IV** **Summary:** As an ** ... Appeals Coordinator - Customer Experience** analyze and resolve verbal and written appeals from consumers. Respond to requests for information from Department… more
- Trinity Health (Columbus, OH)
- …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...review with clinical colleagues. + Screen all incoming grievances, appeals and provider claim dispute to ensure they are… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator - Appeals Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical ... link Job Details: Internal Posting: 02/25/25 to 03/10/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of this class assists… more
- Centene Corporation (Bedford, NH)
- …**Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. ... verbal and written member and provider complaints, grievances and appeals + Prepare response letters for member and provider...response letters for member and provider complaints, grievances and appeals + Maintain files on individual appeals … more
- Centene Corporation (Phoenix, AZ)
- …**Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. ... verbal and written member and provider complaints, grievances and appeals + Prepare response letters for member and provider...response letters for member and provider complaints, grievances and appeals + Maintain files on individual appeals … more
- Commonwealth Care Alliance (Boston, MA)
- …clinical, operations, pharmacy, dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in ... 011540 CCA- Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and Grievances team… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Appeals and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written ... complaints, grievances and requests for appeals that involve complex matters submitted by Members and...written and fax referred cases from member and provider appeals and complaints for all lines of business, ensuring… more
- Fallon Health (Worcester, MA)
- …NCQA standards, other applicable regulatory requirements and member expectations. The FH Member Appeals & Grievances Coordinator serves to administer the FH ... departmental policies and procedures, and regulatory standards. The Member Appeals & Grievances Coordinator serves as a liaison between FH members and FH… more
- CVS Health (Hartford, CT)
- …And we do it all with heart, each and every day. **Medicare Clinical Appeals Analyst Position Summary** The Clinical Appeals Analyst position requires an ... day-to-day operations for the par provider Medicare Advantage plan appeals department. This is a fast-paced department that requires...and closing out cases that ICC cannot work. **SARS Coordinator ** + Collaborate with the Associate Managers & TLs… more
- CUNY (New York, NY)
- …action efforts, including the Annual Affirmative Action Plan; + As 504/ADA Coordinator , review appeals of reasonable accommodation request decisions; + ... to improve services; + Conducting fact-finding investigations, including as Title IX coordinator , that ensure due process for all parties in response to complaints… more
- City of New York (New York, NY)
- …and Article 78 requests and simultaneously handle post-conviction litigation, including direct appeals , Article 440 motions, and federal writs of habeas corpus. JOB ... made through Office internal request system Make recommendations to Appeals Bureau Chief on viability of such appeals... Appeals Bureau Chief on viability of such appeals and communicate with other bureaus about requests Draft… more
- CVS Health (Oklahoma City, OK)
- …day. **Position Summary** Responsible for intake, investigation and resolution of appeals , complaints and grievances scenarios for all products, which may contain ... responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance. Identify trends and emerging issues and report… more
- Elderwood (Waverly, NY)
- Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/RN MDS Coordinator ... updates as requested by Insurance Companies, handles Third Party appeals , peer to peers as applicable and with clinical...and with clinical oversight provided by the LPN/RN MDS Coordinator . Attends team meetings at the discretion of the… more
- Bronx County District Attorney's Office (Bronx, NY)
- …Summary Title:Assistant District Attorney ID:902-2025583 Career Opportunity Type:Lateral Bureau: Appeals Bureau Functional Title:People's Appeal Coordinator ... and Article 78 requests and simultaneously handle post-conviction litigation, including direct appeals , Article 440 motions, and federal writs of habeas corpus. JOB… more
- Clark County, NV (Las Vegas, NV)
- CONSTRUCTION PROJECT COORDINATOR Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4951180) Apply CONSTRUCTION PROJECT COORDINATOR Salary ... seeking qualified candidates to apply for the Construction Project Coordinator position. The ideal candidate will provide oversight to...applicant's response to each item in the assessment, score appeals will not be allowed for this recruitment. +… more
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleDevelopment Operations Coordinator , College of Natural Sciences Position LocationFort Collins, CO Work LocationPosition ... on06/08/2025 Description of Work Unit Colorado State University Development Operations Coordinator College of Natural Sciences University Advancement The Office of… more
- State of Colorado (Denver, CO)
- Health Professional V- FCBS CR Coordinator /Supervisor Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4964150) Apply Health Professional V- ... FCBS CR Coordinator /Supervisor Salary $78,684.00 - $110,160.00 Annually Location Denver, CO...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- University of Oregon (Eugene, OR)
- … Coordinator Apply now (https://secure.dc4.pageuppeople.com/apply/726/gateway/default.aspx?c=apply&lJobID=535515&lJobSourceTypeID=831&sLanguage=en-us) Job no: 535515 ... Department: Lundquist College of Business Classification: University Development Project Coordinator 1 Appointment Type and Duration: Regular, Ongoing Salary: $22.17… more
- Elderwood (Waverly, NY)
- …and reimbursement methodology? We want to talk with you! RN - MDS Coordinator Position Overview: + Oversees, reviews and/or completes the MDS/PPS components of the ... assessment. + Acts as support/liaison to the business office coordinator and/or designee in determining eligibility for Medicare and...for pre and post-pay record reviews, ADR requests and appeals processes. + Manages NYS RUGs III case mix… more
- Baptist Memorial (Memphis, TN)
- Overview The Denial Escalation Coordinator 's primary focus will be to escalate accounts outside the payer's formal appeal process to secure payment for services ... including federal and state regulations and guidelines. The Denial Escalation Coordinator will be responsible for analyzing and interpreting trends associated with… more
Related Job Searches:
Appeals,
Appeals Denials Coordinator,
Appeals Grievances Coordinator,
Behavioral Health Appeals Coordinator,
Clinical Appeals Coordinator,
Coordinator,
Coordinator Complaint Appeals,
Grievance Appeals Coordinator