Senior Coordinator, Complaint and Appeals - Phoenix

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · ...

We are looking for a Senior Coordinator to manage the resolution of appeal scenarios for all products. · The ideal candidate will be responsible for researching and resolving incoming electronic appeals as appropriate, · trends in misrouted work and can identify reroute inappropr ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. · Responsible for m ...

As the Complaint and Appeals Coordinator at CVS Health, you will be responsible for verifying caller enrollment status with Mercy Care Plan, collecting demographic information from members or callers, and utilizing QuickBase database to complete intake forms. · ...

Verify caller enrollment status with Mercy Care Plan. · Collect and document accurate demographic information from members or callers. · ...

Job summaryAs Complaint & Appeals Coordinator you will verify caller enrollment status with Mercy Care Plan collect and document accurate demographic information from members or callers confirm details such as whether members receive special assistance assist with special project ...

Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Se ...

Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Se ...

summaryThis position functions as a Legal Assistant to provide support to the Administrative Law Judges ALJs at the Appellate Services Administration ASA This function is mission critical as ASA requires this position to review requests for an appeal select exhibits for hearings ...

This position functions as a Legal Assistant to provide support to the Administrative Law Judges (ALJs) at the Appellate Services Administration (ASA). · ...

Provide administrative support to attorneys and other staff members in a law office. · ...

This position functions as a Legal Assistant to provide support to the Administrative Law Judges (ALJs) at the Appellate Services Administration (ASA). · ...

Senior paralegal responsible for state and federal court filings docketing drafting pleadings managing productions preparing correspondence to clients third parties. · ...

We are hiring a Complaints Specialist to join our team. You will be responsible for managing and resolving complex administrative member and/or provider grievances and appeals. · You will serve as a subject matter expert on non-clinical case resolution, focusing on sensitive memb ...

This position functions as a Legal Assistant to provide support to the Administrative Law Judges (ALJs) at the Appellate Services Administration (ASA). · The legal assistant is responsible for reviewing requests for an appeal, selecting exhibits for hearings and distinguishing be ...

This position supports the organization's service center by providing daily customer service to physicians and/or staff employees health and dental plan members dependents payers hospital staff. · ...

The Adult Case Manager (ACM) provides ongoing case management services to members designated as Seriously Mentally Ill (SMI). · ResponsibilitiesPerforms duties out in the community and is expected to provide transportation, when necessary. · Coodinates services for behavioral he ...

The Adult Case Manager (ACM) provides ongoing case management services to members designated as Seriously Mentally Ill (SMI) · ...

The Adult Case Manager provides ongoing case management services to members designated as Seriously Mentally Ill (SMI) who are receiving ongoing behavioral healthcare. · ...

Zwillinger Wulkan is a respected litigation firm known for our commitment to excellence, · strategic advocacy, and results-driven legal representation. · We are currently seeking a skilled and experienced Senior Paralegal to join our team.5+ year of experience; · Professional dem ...