Grievance & Appeals Coordinator I - 210056 - Tempe, AZ

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · ...

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, · appeals · Maintain files on individual appeals · Prep ...

Job DetailsJob Location: Phoenix, AZ - Phoenix, AZ 85027Position Type: Full-TimeThe Appeals Coordinator is responsible for providing expertise in reviewing, researching, investigating, negotiating, and resolving both verbal & written appeals and grievances from members and provid ...

The Appeals Coordinator is responsible for providing expertise in reviewing, · researching, investigating, negotiating and resolving both verbal & written appeals · and grievances from members and providers within stringent time frames. · ...

+Job summary · Grievance & Appeals Coordinator I Analyze and resolve verbal and written claims and authorization appeals from providers. · +ResponsibilitiesGather analyze and report verbal and written member and provider complaints grievances · ...

+Job summary · Lensa no contrata directamente para estos puestos, pero promociona trabajos en LinkedIn a nombre de sus clientes directos, agencias de reclutamiento y socios de marketing. · +ResponsibilitiesAnalyze and resolve verbal and written claims and authorization appeals fr ...

CVS Aetna seeks a dedicated Senior · Coordinator to join our remote team. · In this role, · you'll play a critical role that supports the daily operations · of the Commercial Member Clinical Appeals (CMCA) team. ...

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. · This role will be remote; however, the candidate must reside in Arizona per our contract with the state. · Analyze and resolve verbal and written claims and autho ...

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

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 ...

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 ...

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 ...

· Benefits:Flexible schedule · About Triton Medical Solutions · Triton Medical Solutions is a nationally recognized medical billing and revenue cycle management company based in Tempe, Arizona. Since 2011, Triton has specialized in medical billing for dental, orofacial pain, TMJ ...

Manage frontline agents responsible for providing high quality care to Dashers at the forefront of our business. · Lead a team of motivated individuals focused on customer success to deliver operational KPIs · ...

About Lost Our Home Pet Rescue · Lost Our Home Pet Rescue is a non-profit, no-kill pet shelter whose mission is to help pets and pet parents in crisis. Many of our programs are linked to the human-animal bond and extend beyond pets to include pet parents. Our programs are (1) Res ...

· Full-time · Description · Soleo Health is seeking an in-office Patient Care Coordinator/Scheduler to support our Specialty Infusion Suite in Tempe, AZ. Join us in Simplifying Complex Care Licensed Practical Nurse (LPN) preferred.    · Soleo Health Perks: · Competitive Wages   ...

+As a Supervisor on our Voice Ordering Accessibility team you will oversee a team of trained representatives who place orders on behalf of our customers with accessibility needs. · + · +Lead a team of motivated individuals who are focused on customer success · ...

As a Supervisor on our Specialty Pods Operations Team, you will oversee a team of trained support staff. · ...

· JOB DESCRIPTION · Position Title: Associate Director of Development · Department: Development & Alumni Relations · FLSA Status: Exempt · Full/Part-Time: Full Time  · Effective date: /20/2026 · Supervises: Development Coordinator & Sr. Development Specialist  · Sonoran Universi ...

We??re looking for a talented Graphic Designer & Marketing Coordinator to join our team at our facility in Tempe, AZ. · ...