Appeals & Grievances Specialist (Complaints & Grievances) - Scottsdale, AZ

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 ...

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 HR Specialist will perform human resources activities in recruitment retention benefits troubleshooting payroll issues. · ...

This position receives regular review of objectives by department manager. Performs human resources activities in the areas of recruitment, retention, benefits and troubleshooting payroll issues. Provides services as a resource contact disseminating information on rules regulatio ...

The Community Resource Specialist I provides high quality customer service and serves as the main point of contact for the organization. · ...

+Job summary · Noah es un Centro Calificado Federalmente (FQHC) que ofrece servicios integrales, accesibles y asequibles a personas necesitadas. · +Schedules and confirms appointments; verifies insurance. · Manages referrals, work queues, patient lists, emails, and referrals in E ...

+The Community Resource Specialist I provides high quality customer service and serves as the main point of contact for the organization. · +High School Diploma or GED. · 1+ years of experience in customer service; healthcare industry experience. · ...

+Camelback Post Acute Care and Rehab in search of an Activities Director to lead and supervise our activities program. · +High school diploma or equivalent · May be a qualified therapeutic recreation specialist or an activities professional who is certified by a recognized accred ...

+We are seeking a dedicated Insurance Claims Specialist to be part of our Risas team. · +Analyze insurance claims and denials by running reports and contacting insurance carriers for claim resolution · Identify problem accounts or insurance providers, trends and escalate as appro ...

We are seeking a dedicated Provider Appeals & Grievance Specialist with 1 to 2 years of experience to join our team. · ...

We're hiring a Clinical Coordinator to help those suffering from addictions gain access to care. You'll work mostly from home except for at least one day a week when you'll travel to your assigned clinic. · ...

Would you like to be part of an amazing team that helps Arizonans thrive? At the Department of Economic Security (DES), we strengthen individuals, families, · and communities for a better quality of life. · ...

We are seeking a dedicated Provider Appeals & Grievance Specialist with 1 to 2 years of experience to join our team. · Strong technical skills in MS Excel. · Knowledge/navigation skills for Microsoft programs in fast paced environment. · Dedication to attendance adherence and abi ...

The Community Resource Specialist I provides high quality customer service and serves as the main point of contact for the organization. ...

Would you like to be part of an amazing team that helps Arizonans thrive? At the Department of Economic Security (DES), we strengthen individuals, families, and communities for a better quality of life. · Receives, enters and resolves grievances (complaints), inquiries or request ...

Community Medical Services (CMS) is hiring a Clinical Coordinator to help those suffering from addictions to opioids and other illicit substances gain access to care. · ...

The Student Persistence Specialist supports student retention by proactively identifying at-risk students, · providing timely outreach and collaborating with campus teams to remove barriers to success. · ...

The Document Services Supervisor will oversee Document Processing activities and ensure shift coverage. They will provide expert knowledge, technical support, and training to direct reports. · ...

Community Medical Services (CMS) is hiring a Clinical Coordinator to help those suffering from addictions to opioids and other illicit substances gain access to care. · ...

Document Services Supervisor will perform oversight responsibilities for Epiq personnel including overseeing the Document Processing activities, workflow. · ...