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Appeal Coordinator jobs

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APPEALS COORDINATOR

The coordinators are assigned to one of 3 teams, with varied job duties depending on level of training. They interact with lead coordinators for assignments and questions, managers for oversight, guidance, and workday matters, and...

CompanyEvolent Health
AddressRemote
CategoryInformation Technology
Salary$22 an hour
Job typeFull-time
Date Posted 4 weeks ago See detail

Appeals Coordinator

Evolent Health

Remote

$22 an hour

The coordinators are assigned to one of 3 teams, with varied job duties depending on level of training. They interact with lead coordinators for assignments and questions, managers for oversight, guidance, and workday matters, and...

4 weeks ago seen See more...

Account & Appeals Coordinator

Medimpact

Tempe, AZ

Works with clients and providers to satisfy appeals and any other issues they may have. Works with Provider Data Management and Provider Services helping with back log when needed and fielding phone inquiries. Participates in meet...

a month ago seen See more...

Grievance & Appeals Coordinator II

Arizona Complete Health

Arizona, United States

$22.36 - $38.07 an hour

Review and process member and provider grievances and appeals within federal, state and organizational regulations and policies and procedures Review claim grievance for reconsideration and either approve/deny based on determinati...

a month ago seen See more...

Grievance & Appeals Coordinator I

Bcforward

Ohio, United States

Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and provider complaints, grievanc...

a month ago seen See more...

Grievance & Appeals Coordinator I

Bcforward

Indianapolis, IN

The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. The submission of intentionally false or fraudulent information in response to this...

a month ago seen See more...

Grievance & Appeals Coordinator I

Sunshine State Health Plan

Tampa, FL

$18.66 - $31.73 an hour

Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints, grievances and appeals Maintain files on individual appeals and grie...

a month ago seen See more...

Grievance and Appeals Coordinator

Delta Dental Of New Mexico

Albuquerque, NM

$46.2K - $58.5K a year

401(k). 401(k) matching. Dental insurance. Health insurance. Paid time off. Parental leave. Tuition reimbursement. Vision insurance. Work from home. Hybrid work. Office. Albuquerque, NM 87109: Relocate before starting work (Requir...

2 months ago seen See more...

Lead Grievance & Appeals Coordinator

La Healthcare Connections

Baton Rouge, LA

$22.36 - $38.07 an hour

Provide consultation for problem resolution for appeals staff and monitor team work output to ensure compliance with internal and NCQA standards. Identify training, process improvement and resource needs to maximize team performan...

2 months ago seen See more...

Grievance & Appeals Coordinator I

Wellcare New Jersey

New Jersey, United States

$18.66 - $31.73 an hour

Gather, analyze and report verbal and written member and provider complaints, grievances and appeals. Prepare response letters for member and provider complaints, grievances and appeals Maintain files on individual appeals and gri...

2 months ago seen See more...

Grievance & Appeals Coordinator I

Arizona Complete Health

Tempe, AZ

$18.66 - $31.73 an hour

Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints, grievances and appeals Maintain files on individual appeals and grie...

2 months ago seen See more...

Appeals Coordinator

Idaho Health Insurance Exchange

Boise, ID

Makes initial and follow up contacts with consumers/consumer connectors regarding appeal requests. Responds to members, Consumer Connectors, and authorized representatives regarding YHIs appeal decisions. Ensures timeframes are m...

2 months ago seen See more...

REMOTE | Coordinator Appeals & Grievances

Amerihealth Caritas

Dublin, OH

$35.9K - $45.5K a year

Research and Investigate member and/or provider appeals and grievance requests, including review of UM/claim denial reasons, contract/regulatory rules, benefits, and documentation received on appeal/grievance. Outreach call(s) mad...

4 weeks ago seen See more...

Appeals & Grievances Coordinator - Remote in NM

Unitedhealthcare

Albuquerque, NM

$50.4K - $63.9K a year

Analyze/research/understand how a service/procedure/authorization was processed and why it was denied/modified. Obtain relevant medical records to submit appeals or grievance for additional review, as needed. Leverage appropriate...

a month ago seen See more...

Senior Coordinator, Complaint ^ Appeals

Cvs Health

Harrisburg, PA

Responses must be timely and include member focused solutions in both written and oral format.Ideal candidates will have Medicare knowledge, customer service experience, attention to detail and the ability to multi task. For more...

2 months ago seen See more...

Appeals-Grievance Coordinator I

Samaritan Health Services

Corvallis, OR

$42.7K - $54K a year

High school diploma or equivalent required. Bachelors degree in a related field preferred. Three (3) years health plans or health insurance experience required. Ability to apply critical thinking in resolving grievances and evalu...

2 months ago seen See more...

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