Grievance / Appeals jobs
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GRIEVANCES & APPEALS REPRESENTATIVE
1 year of customer service experience Intermediate experience with Microsoft Word and Excel Strong communication skills both written and verbal Critical thinking skills Must have experience in a fast-paced, production driven envir...
| Company | Humana |
|---|---|
| Address | Montana, United States |
| Category | Retail |
| Date Posted | a month ago See detail |
Grievances & Appeals Representative
Humana
Montana, United States
1 year of customer service experience Intermediate experience with Microsoft Word and Excel Strong communication skills both written and verbal Critical thinking skills Must have experience in a fast-paced, production driven envir...
a month ago seen See more...
- View all Humana jobs - jobs in Montana State
Grievance/Appeals Representative II
Elevance Health
Woburn, MA
Conducts investigation and review of customer grievances and appeals involving provision of service and benefit coverage issues. Contacts customers to gather information and communicate disposition of case; documents interactions...
2 months ago seen See more...
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Manager II Grievance/Appeals (RN)
Elevance Health
WOODLAND HILLS, CA
Description Manager II Grievance/Appeals Claims Support Location: *CA Residential Requirement This position will work a hybrid model (remote and office). This range may be modified in the future and actual compensation may var...
2 months ago seen See more...
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Clinical Appeals Nurse (RN) TEXAS and NEW MEXICO - Now Hiring New
Molina Healthcare
Houston, TX
The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases in which a formal appeals request has been made or upon request by another Molina department to reduce the likelihood of a formal appeal...
9 hours ago seen See more...
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Grievance and Appeals Intake Coordinator
Cvs Health
Columbus, OH
This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accele...
4 weeks ago seen See more...
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Grievance and Appeal - Senior Analyst
Cvs Health
Columbus, OH
This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accele...
4 weeks ago seen See more...
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Appeals & Grievances Specialist I - Onsite
Generac Power Systems
Waukesha, WI
Handles escalated calls/cases when a call is deemed beyond the scope of responsibility of the Customer Support Team or requires in-depth investigation, coordination and follow-up with the customer and/or their service provider. Wo...
4 weeks ago seen See more...
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Appeals & Grievance (A&G) Registered Nurse (RN)
Ust
United States
$51,000 - $77,000 a year
Investigate and process complex grievances and appeals requests from members and providers. Perform reviews of inpatient, outpatient, ambulatory and ancillary services for medical necessity. Review, research, and prepare documenta...
2 months ago seen See more...
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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...
2 months ago seen See more...
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Appeals Specialist
Atlantic Region Cbo
Richmond, VA
Responsible for appeals relating to technical and clinical issues identified during the billing of claims. Works with HIM and facility clinicians to correct deficiencies in a timely manner Identify problem accounts and trends. Esc...
2 days ago seen See more...
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Appeals Representative - 4635 in Louisville, TN (Onsite) at TeamHealth
Teamhealth
Louisville, TN
Career Growth Opportunities. Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment. 401K program (Discretionary matching funds available). Employee Assistance Program. Referral Pro...
6 days ago seen See more...
- View all - jobs in Louisville, TN
Appeals Representative - 4572 in Louisville, TN (Onsite) at TeamHealth
Teamhealth
Louisville, TN
Career Growth Opportunities. Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment. 401K program (Discretionary matching funds available). Employee Assistance Program. Referral Pro...
6 days ago seen See more...
- View all - jobs in Louisville, TN
Nurse Appeals (RN)
Elevance Health
HENDERSONVILLE, TN
Conducts investigations and reviews of member and provider medical necessity appeals. Reviews prospective, inpatient, or retrospective medical records of denied services for medical necessity. Extrapolates and summarizes medical...
2 weeks ago seen See more...
- View all - jobs in HENDERSONVILLE, TN
PT Deputy Clerk - Appeals
Erie County Clerk Of Courts
Sandusky, OH
From $14.05 an hour
Computer correspondence of legal documents and forms at least 40WPM. Skilled in computer usage. Maintain complex records. Record receipts. Answer telephone; greet the public, knowledge regarding title department procedures. Prepar...
2 weeks ago seen See more...
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Attorney (Legal Research) - Intermediate Court of Appeals
Hawaii State Judiciary
Honolulu, HI
Starting salary may be at a rate between the minimum to maximum salary range listed above, based on qualifications....
2 weeks ago seen See more...
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Appeals Representative - Roseville, CA - Hybrid
Gainwell Technologies
Roseville, CA
Research Provider First Level Appeals and obtain additional information, if needed. Analyses documents and decides on how to proceed to provide a document reevaluation. Creates documentation supporting the determination and forwar...
2 weeks ago seen See more...
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Division of Appeals & Opinions - Assistant Soli...
A Government Entity
Albany, NY
A minimum of two (2) years of post-graduate general legal experience. Prior appellate experience, includingclerkship experience, is preferred but not required;. Demonstrated excellence in the skills of legal research, analysis, a...
3 weeks ago seen See more...
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Appeals Representative
Unite Here Health
Aurora, IL
Integrity Must be trustworthy and principled when faced with complex situations. Ability to build positive work relationships Mutual trust and respect will be essential to the collaborative relationships required. Communicatio...
3 weeks ago seen See more...
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Clinical Appeals RN
Bjc Healthcare
Saint Louis, MO
Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date. Disability insurance* paid for by BJC. Pension Plan*/403(b) Plan funded by BJC. 401(k) plan with BJC match....
3 weeks ago seen See more...
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Appeals Analyst
Natera
Remote
$75,000 - $86,000 a year
Develop, train, and deploy a process to submit and monitor appeals for assigned product. This. Establishes the patient authorized appeal process for medical necessity and experimental denials. Project manages patient authorized ap...
3 weeks ago seen
Appeals and Denials Specialist
Sanford Health
Sioux Falls, SD
margin-top-16 { margin-top: 0; display: none;}Careers With Purpose Facility: Cherapa Place Building Location: Sioux Falls, SD Address: 300 N Cherapa Pl, Sioux Falls, SD 57103, USA Shift: 8 Hours - Day Shifts Job Schedule: Full tim...
4 weeks ago seen See more...
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Senior Clinical Appeals Coordinator
Adecco
Minneapolis, MN
$ 21.68 - $ 23.68 / Hour
Weekly Pay. 401(k) Plan. Skills Training. Excellent medical, dental, and vision benefits....
4 weeks ago seen See more...
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Appeals Specialist
Parallon
Largo, FL
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...
4 weeks ago seen See more...
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Supervisory Staff Attorney- Court of Appeals Cr...
A Government Entity
Carson City, NV
Reviews and edits memoranda, orders and opinions drafted by team attorneys. Determines the manner in which cases prepared by the team should be presented to the court: draft conference, oral presentation, or portable agenda. Inter...
4 weeks ago seen See more...
- View all A Government Entity jobs - jobs in Carson City, NV
Supervisory Staff Attorney- Court of Appeals Cr...
A Government Entity
Las Vegas, NV
Reviews and edits memoranda, orders and opinions drafted by team attorneys. Determines the manner in which cases prepared by the team should be presented to the court: draft conference, oral presentation, or portable agenda. Inter...
4 weeks ago seen See more...
- View all A Government Entity jobs - jobs in Las Vegas, NV
Senior Appeals Analyst
Parallon
Largo, FL
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...
a month ago seen See more...
- View all Parallon jobs - jobs in Largo, FL
Denials and Appeals Representative in Remote Position at TeamHealth
Teamhealth
Remote
Career Growth Opportunities. Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment. 401K program (Discretionary matching funds available). Employee Assistance Program. Referral Pro...
a month ago seen See more...
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Staff Attorney II - Court of Appeals
A Government Entity
Richmond, VA
Description: Job Duties:This position offers a competitive benefits package, which includes vacation and sick leave, 13 paid holidays, health insurance, retirement, life insurance, deferred compensation and short- and long-term di...
a month ago seen See more...
- View all A Government Entity jobs - jobs in Richmond, VA
SCA Appeals Representative I
Elevance Health
SOUTH PORTLAND, ME
Indianapolis, Indiana - $18.15. East Syracuse, New York - $18.15. Harrisburg,Pennsylvania - $17.25. Denison, Texas - $17.25. South Portland, ME - $17.25. Reviews analyzes, and processes non-complex grievances and appeals by exter...
a month ago seen See more...
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[Extended] Volunteer (Non-Paid) Position - Plumbing Code Board of Appeal
Koin
Portland, OR
You believe government is better when the community is involved. You are an advocate for racial equity: you want positive and long-lasting outcomes for racial and ethnic communities who have been left out before. You can bring dis...
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