- TEKsystems (Houston, TX)
- Hiring For Grievance & Appeals Coordinator ! 100% REMOTE - Texas Note: Candidates from Texas can only apply! Candidates who are having 5+yrs of experience in ... Medical Grievance and Appeals can only apply! Pay -...titles or background work well in this role? * Appeals Coordinator / Case Manager * Medical Biller… more
- Randstad US (Woodland Hills, CA)
- grievance and appeals coordinator . + woodland hills , california + posted may 8, 2024 **job details** summary + $19.99 - $22 per hour + temp to perm + high ... job details A trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Grievance and Appeals Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #660 Friday, May 3, 2024 Centers Plan for Healthy Living's goal is to ... need for healthy living. JOB SUMMARY: As an integral part of the Grievance and Appeals (G&A) Department, the G&A Coordinator lends their support in… more
- Randstad US (Los Angeles, CA)
- grievance and appeals coordinator (ca residents). + los angeles , california (remote) + posted april 26, 2024 **job details** summary + $21.99 - $22 per hour ... support occupations + referenceAB_4523235 job details This position requires previous Grievance and Appeals experience. Position is remote but candidates… more
- Centene Corporation (Phoenix, AZ)
- …**Position Purpose:** Analyze and resolve verbal and written claims and authorization grievance / appeals from providers and members. Resolve all State inquires ... + Act as subject matter expert regarding grievances and appeals . + Lead Appeals and Grievance Committee **Education/Experience:** Bachelor's degree in… more
- Centene Corporation (Sacramento, CA)
- …member and provider complaints, grievances and appeals + Maintain files on individual appeals and grievances + May coordinate the Grievance and Appeals ... High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals , claims or related managed care experience. Strong oral, written,… more
- CVS Health (Columbus, OH)
- …solutions to make health care more personal, convenient and affordable. Position SummaryCreated grievance and appeals cases in the G&A system and sends ... acknowledgement letters to members and providersRequired QualificationsData Entry SkillsPreferred QualificationsOrganized, ability to multi-task, Detail orientedEducationHigh Scholl Diploma or GED Pay Range The typical pay range for this role is: $17.00 -… more
- Magellan Health Services (San Diego, CA)
- …case management and processes appeal requests. In some cases may be combined with Grievance Coordinator functions. + Maintains a caseload and monitors day to day ... documents meet standards and are accurate. General Job Information Title Appeals Coordinator Grade 19 Work Experience - Required Customer Service Work Experience… more
- CVS Health (Fresno, CA)
- …carrying a modified case load including but not limited to:-Research incoming electronic appeals , complaints and grievance to identify if appropriate for unit ... and reroute inappropriate work items that do not meet appeals , complaints and grievance criteria. -Research Standard Plan Design or Certification of Coverage… more
- Washington County Mental Health Services (Barre, VT)
- …on compliance with AHS and DAIL regulations as pertains to Master Grant requirements, grievance and appeals , and the DAIL/DDS System of Care Plan; Monitor and ... Position Title: Administrative Coordinator Division: Community Developmental Services (CDS) Supervised by:...Services (CDS) Supervised by: CDS Director Summary of Administrative Coordinator : The Admin Coordinator will; provide ongoing… more
- Randstad US (Somerville, MA)
- …correspondence for all departments, including but not limited to Claims, Grievance / Appeals , COB/TPL, and Member Reimbursement. + Demonstrate strong interpersonal ... data entry coordinator . + somerville , massachusetts + posted may...limited to Provider Relations, Compliance, Claims, COB/TPL and Provider Appeals . What you'll have: + High School Diploma +… more
- Dignity Health (Rancho Cordova, CA)
- …members, providers and regulatory bodies. This position keeps accurate appeals and grievance intake and outcome. The UM coordinator takes minutes and help ... Under the direction of Utilization Management (UM) leadership, the UM Coordinator processes prior authorization with established criteria. Coordinates In-Patient and… more
- Randstad US (Somerville, MA)
- …correspondence for all departments, including but not limited to Claims, Grievance / Appeals , COB/TPL, and Member Reimbursement. + Responsible for reviewing ... data entry coordinator . + somerville , massachusetts + posted may 8, 2024 **job details** summary + $21 - $23 per hour + temp to perm + high school + category office… more
- Elevance Health (Columbus, OH)
- …lines of business (Commercial, Government, Member, Provider, Claims, Enrollment and Billing, and Grievance and Appeals ) + One of the positions will support ... Serad** , working across Commercial Provider, UM Intake, Claims, Enrollment and Billing, and Grievance and Appeals . **How you will make an impact:** + Conducts… more
- Missouri State University (Springfield, MO)
- …and use of University assets, issue permits, process parking tickets and appeals , etc. Description of Primary Duties This position will be responsible for ... the Armed Forces of the United States of America. The University maintains a grievance procedure incorporating due process available to any person who believes he or… more
- State of Colorado (Golden, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... facility and throughout CYSOs + Functions as the training Coordinator for the facility. Train staff in DYS Policy...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Greeley, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... facility and throughout CYSOs + Functions as the training Coordinator for the facility. Train staff in DYS Policy...of the department's action. For more information about the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …team meetings in collaboration with CYSO III + Ensure that youth grievance policy and procedure are followed. Review of grievances to include investigation, ... of the department's action. For more information about the appeals process, the official appeal form, and how to...this position, please direct your inquiries to our ADAAA Coordinator , Nancy Schmelzer, at cdhs_###@state.co.us or call ###. ~THE… more
- University of Utah Health (Murray, UT)
- …assigned departments and/or programs. + As needed, perform reviews on utilization review, appeals and grievance cases. + Support Sales and Marketing departments ... its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil...including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative… more