Appeals & Grievance Coordinator (Temporary) - Location: Orange, California US

The Appeals & Grievance Coordinator is responsible for the day-to-day functions of tracking and trending all grievances, appeals, and complaints received within the Member Services Department. · Will appropriately acknowledge the receipt of all grievance/appeals, · Responsible fo ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. · ...

We are looking for a remote Appeals & Grievances Coordinator to manage and resolve appeals and grievances related to dental insurance claims. · ...

An employer is looking for a remote Appeals & Grievances Coordinator responsible for managing and resolving appeals and grievances related to dental insurance claims. · This role requires strong analytical and communication skills. · ...

The Grievance Coordinator is responsible for managing, investigating, and resolving patient grievances and complaints in compliance with applicable federal and state regulations, · accreditation standards, and organizational policies. This position plays a vital role in ensuring ...

The Grievance Coordinator is responsible for managing investigating and resolving patient grievances and complaints. · ...

The Grievance Coordinator is responsible for managing patient grievances and complaints in compliance with federal and state regulations. · Receive and investigate patient complaints. · Ensure grievances are resolved within required timeframes. · ...

Imperial is seeking an Appeals and Grievances coordinator to help with the exchange side of Medical. · ...

+The Grievance & Appeals Coordinator supports the resolution of member and provider grievances and appeals by analyzing claims, authorizations, and formal complaints. This role ensures timely, accurate case handling while maintaining high quality and compliance standards. · +- Re ...

The Grievance & Appeals Coordinator supports the resolution of member and provider grievances and appeals by analyzing claims, authorizations, and formal complaints. · ...

You could be the one who changes everything for our members as a clinical professional on our Medical Management/Health Services team. · ...

The Grievance and Appeals (GAD) Coordinator coordinates the work of a team of Member Services Representatives that provide customer services to members and other associated individuals and groups. · Ensure that member inquiries are addressed and that members are referred to the a ...

The Grievance and Appeals (GAD) Coordinator coordinates the work of a team of Member Services Representatives that provide customer services to members and other associated individuals and groups. · ...

The Grievance and Appeals (GAD) Coordinator coordinates the work of a team of Member Services Representatives that provide customer services to members and other associated individuals and groups. You Will Ensure that member inquiries are addressed and that members are referred t ...

The Grievance and Appeals Coordinator coordinates the work of a team of Member Services Representatives that provide customer services to members and other associated individuals and groups. · ...

A Medicare Plans Coordinator will assist in carrying out department responsibilities. · Participates in a mission-driven culture of high-quality performance. · ...

The Grievance and Appeals Nurse Specialist manages medical appeals and state hearing reviews across all lines of business, · handling both expedited and standard requests.This role ensures compliance with regulations,policies,and procedures while preparing case narratives and pos ...

+Job summary · The Team You'll Join We are a mission driven community-based organization that serves member health with excellence and dignity respecting the value and needs of each person. · +ResponsibilitiesCoordinates and participates in case discussions with operational exper ...

We are seeking an experienced Sr Manager to lead our Grievance & Appeals Resolution Services department. · The Team You'll JoinWe are a mission-driven community-based organization that serves member health with excellence and dignity. · If you are ready to advance your career whi ...

<p ALIGNMENT HEALTH IS BREAKING THE MOLD IN CONVENTIONAL HEALTH CARE COMMITTED TO SERVING SENIORS AND THOSE WHO NEED IT MOST THE CHRONICALLY ILL AND FRAGILE IT TAKES AN ENTIRE TEAM OF PASSIONATE AND CARING PEOPLE UNITED IN OUR MISSION TO PUT THE SENIOR FIRST WE HAVE BUILT A TEAM ...