beBeeGrievance Jobs in United States

Key Responsibilities: · Lead and manage teams to review health claims in compliance with established policies and procedures. · ...

About this Role: · Manage client denials and concerns by reviewing clinical documentation · ...

Claims and Resolution Specialist · The role of Claims and Resolution Specialist involves analyzing and resolving verbal and written claims and authorization appeals from providers. This position requires the ability to gather, analyze, and report on member complaints, grievances, ...

Lead Children Through Grief · This role involves leading groups of children aged 5-18 who have experienced loss, providing emotional support and guidance during a difficult time. · ...

This position requires exceptional communication skills to receive, log, and acknowledge patient complaints via various channels. · ...

Key Role in Grievance Management · Job Description: · The Manager of Grievances and Appeals plays a pivotal role in managing client concerns and denials. · ...

Job Summary: · The Manager of Grievances & Appeals plays a pivotal role in managing client concerns and denials. · ...

**Job Overview**: Our organization seeks an Appeals and Grievances Specialist, responsible for claims activities, including reviewing and resolving member and provider complaints. · The selected candidate will provide exceptional support to our members by efficiently addressing t ...

Job Overview · We are seeking a dedicated professional to join our team in the Member Grievance role. In this position, you will be responsible for retrieving new appeals information from the Appeals Case Management System (ACMS), researching denials, and entering pertinent docum ...

Senior Specialist, Appeals · In this role as Senior Specialist in Appeals & Grievances Management you will play a key part in efficiently resolving member and provider complaints. · Key Responsibilities: · Manage submissions interventions and resolutions for appeals grievances an ...

Job Overview · Our team is seeking an experienced Appeals and Grievances Specialist - Remote Work Opportunity. As a key member of our organization, you will play a critical role in ensuring timely and effective handling of appeals and grievances from members and providers. · Resp ...

Grievance Coordinator Role Overview · CoreCivic is seeking a Grievance Coordinator who has a passion for providing high-quality care in an institutional, secure setting. The selected candidate will oversee the inmate/resident grievance process and ensure compliance with company r ...

The Appeals & Grievances Specialist role involves a comprehensive analysis of member complaints regarding health care services or medical benefits provided by the organization; · <h2 id= ...

Healthcare Professional: Grievances and Appeals Manager · Become a part of our healthcare community where you can make a difference in the lives of patients. As the Grievances and Appeals Manager, your key responsibility will be to conduct thorough reviews of clinical documentati ...

Medical Grievances and Appeals Director · The Medical Grievances and Appeals Director plays a pivotal role in ensuring the delivery of quality healthcare services by reviewing the appropriateness of care provided to patients. This individual collaborates with executives to develo ...

Become a part of our caring community and help us prioritize patient care · Job Description: · The Grievances & Appeals Manager manages client denials and concerns by conducting comprehensive reviews of clinical documentation to determine if grievances, appeals or further request ...

Job Description · We are seeking a skilled professional to serve as the Grievance Unit Lead, providing leadership and supervision for OPWDD's grievance process. This role makes final determinations on grievances and oversees systemic trends analysis. · ...

You will work on complex issues with diverse scope and moderate to substantial complexity, relying heavily on your analytical skills. Your ability to exercise independent judgment and decision-making in this role is essential for success. ...

Job Description · We are seeking a skilled professional to serve as the primary point of contact for union grievance intake and investigation. · Triage labor relations inquiries from various stakeholders, ensuring prompt and effective resolution. · Analyze collective bargaining a ...

Grievances & Appeals Specialist · Within our community, we prioritize health and well-being by empowering members to manage their concerns. This role involves comprehensive reviews of client denials to determine if grievances or further requests are warranted. · We utilize traine ...