Grievance & Appeals Coordinator I - 210056 - Tempe, AZ

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 ...

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

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 · ...

Maintains State Fair Hearing Logs with appropriate information required by HP policy, · Reviews all State Fair Hearing requests by members and providers, · May attend State Fair Hearings.Coordinates and assists the Grievance & Appeals Manager in preparing for higher levels of app ...

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. ...

+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 ...

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

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

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 · ...

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

+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 · ...

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

As a Team Lead on our Community Defense Team, you will directly manage frontline agents responsible for providing the highest quality care to our Dashers at the forefront of our business. · ...

Job summaryJoin our movement, be part of the progress, and help ensure a healthier future for all. You matter, and so does the impact you can make with us. · ...

A signage and graphics installer plays a crucial role in ensuring that businesses and organizations effectively communicate their messages through visually appealing and professionally installed signage. · ...