Grievance and Appeals Coordinator - Woodland Hills, United States - Randstad USA

Randstad USA Woodland Hills, United States

3 weeks ago

TEMPORARY, Full time

Description

A trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. Previous Grievance and Appeals experience preferred. Ability to communicate with providers and members is essential. If interested, please apply with an updated resume.

salary: $ $22 per hour
shift: First
work hours: 8 AM - 6 PM
education: High School

Responsibilities

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, grievances and appeals
Prepare response letters for member and provider complaints, grievances and appeals
Maintain files on individual appeals and grievances
May coordinate the Grievance and Appeals Committee Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information
Assist with HEDIS production functions including data entry, calls to provider's offices, and claims research.
Manage large volumes of documents including copying, faxing and scanning incoming mail

Skills
Claim Denials
CPT Codes
Qualifications
Years of experience: 1 year
Experience level: Experienced
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

Applications accepted on ongoing basis until filled.

Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Grievance and Appeals Coordinator

3 weeks ago

Randstad North America, Inc. Woodland Hills, United States

A trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. Previous Grievance and Appeals experience preferred. Abi Appeals, Coordinator, Adminis ...
Grievance and Appeals Coordinator

1 week ago

A-Line Staffing Solutions Woodland Hills, United States

A-Line Staffing is now hiring a Grievance and Appeal Coordinator in the Woodland Hills CA area. The Grievance and Appeal Coordinator would be working for a Fortune 500 company and has career growth potential. This would be full time / 40 hours per we Coordinator, Appeals, Staffin ...
Grievance and appeals coordinator

2 weeks ago

Randstad Woodland Hills, United States

A trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. Previous Grievance and Appeals experience preferred. Ability to communicate with provi ...
Grievance & Appeals Coordinator I

2 weeks ago

Centene Corporation Woodland Hills, 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, grievances and appeals. Prep Appeals, Coordinator, Adminis ...
Grievance & Appeals Coordinator I

2 weeks ago

Centene Corporation Woodland Hills, United States Full time

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...
Grievance and Appeals Coordinator

1 week ago

Alinestaffing Los Angeles, United States

A-Line Staffing is now hiring a Grievance and Appeal Coordinator in the Woodland Hills CA area. · The Grievance and Appeal Coordinator would be working for a Fortune 500 company and has career growth potential. This would be · full time / 40+ hours per week. · If you are inter ...
Appeals and Grievance Coordinator

3 weeks ago

Imperial Health Plan Of California Inc. Pasadena, United States

JOB TITLE: Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt · DEPARTMENT: Appeals and Grievances · REPORTS TO: Supervisor, Appeals & Grievances · JOB SUMMARY: Responsible for reviewing and resolving member complaints and appeals and communicating resolution to members ...
Grievance and Appeals Coordinator

1 week ago

Randstad North America, Inc. Los Angeles, United States

Speaki[ " · \tspeaking with healthcare providers and members · \tutilizing different material and navigating through systems · \tcommunicating with internal and external parties · \tformulating responses in writing to members · " ][ "Experience. Experie Coordinator, Appeals, Admi ...
Appeals and Grievance Coordinator

3 weeks ago

Imperial Health Plan of California, Inc. Pasadena, United States

JOB TITLE: · Appeals and Grievance Coordinator · FLSA STATUS: · Non-Exempt · DEPARTMENT: · Appeals and Grievances · REPORTS TO: · Supervisor, Appeals & Grievances · JOB SUMMARY: · Responsible for reviewing and resolving member complaints and appeals and communicating resolu ...
Appeals and Grievance Coordinator

3 weeks ago

Imperial Health Plan of California, Inc. Los Angeles, United States

JOB TITLE: Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt · DEPARTMENT: Appeals and Grievances · REPORTS TO: Supervisor, Appeals & Grievances · JOB SUMMARY: Responsible for reviewing and resolving member complaints and appeals and communicating resolution to members ...
Grievance and Appeals Coordinator

2 weeks ago

Randstad Los Angeles, United States

A trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. Previous Grievance and Appeals experience preferred. Ability to communicate with provi ...
Appeals and Grievance Coordinator

3 weeks ago

Imperial Health Plan of California, Inc. Pasadena, United States

JOB TITLE: Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt · DEPARTMENT: Appeals and Grievances · REPORTS TO: Supervisor, Appeals & Grievances · JOB SUMMARY: Responsible for reviewing and resolving member complaints and appeals and communicating resolution to members ...
grievance and appeals coordinator

4 weeks ago

Randstad Los Angeles, United States

grievance and appeals coordinator (ca residents). · + los angeles , california (remote) · + posted 6 days ago · **job details** · summary · + $ $22 per hour · + temporary · + high school · + category healthcare support occupations · + referenceAB_4523235 · job details · This posi ...
Grievance and appeals coordinator

3 weeks ago

Randstad Los Angeles, United States

This position requires previous Grievance and Appeals experience. Position is remote but candidates must reside in the state of California. Schedule: Must be available to work an 8 hour shift anytime between 8am-6pm PST Pay rate: $22/hour Work equipment: Will be provided and ship ...
Grievance & Appeals Coordinator I

2 weeks ago

Centene Corporation Los Angeles, United States

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...
Grievance and Appeals Coordinator 1

2 weeks ago

Workforce Connections Los Angeles, United States

Job Title:Grievance and Appeals Coordinator 1 · 2 openings · Contract Duration: 6+ mont contract with potential to convert to full-time · Pay Rate: $20-22/hr · Location: Remote/Hybrid - must be local to Woodland Hills, CA (may need to come in for meetings) · Work Hours:M-F a ...
Grievance & Appeals Coordinator I

1 week ago

Centene Corporation Los Angeles, United States

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.M ...
Grievance and Appeals Coordinator 1

3 weeks ago

Workforce Connections Los Angeles, United States

Job Title:Grievance and Appeals Coordinator 12 openingsContract Duration: 6+ mont contract with potential to convert to full-timePay Rate: $20-22/hrLocation: Remote/Hybrid - must be local to Woodland Hills, CA (may need to come in for meetings)Work Hours:M-F anywhere between 8am- ...
Remote - Grievance and Appeals Coordinator

5 days ago

Workforce Connections Los Angeles, United States

Job Title: Grievance and Appeals Coordinator IContract Duration: 9+ monthsPay Rate: $20-22/hrLocation: Remote - Must reside in CaliforniaWork Hours: Monday- Friday anywhere between 8am-6pm (staggered shifts) Must accept shift given-no flexibility in scheduleQualifications/Skills ...
Grievance & Appeals Coordinator I

3 weeks ago

TEKsystems Los Angeles, United States OTHER

Hiring for Grievance and appeals Coordinator · Tek Systems is currently hiring for Healthcare program coordinators for one of top healthcare company in Florida. · Description: · Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from provide ...