Appeals Coordinator - Orange, CA

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 ...

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. · ...

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. · ...

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

+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. · ...

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

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. · ...

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 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 ...

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

All Care To You is a Management Service Organization providing our clients with healthcare administrative support. We provide services to Independent Physician Associations, TPAs, and Fiscal Intermediary clients. · The Denial Resolution Coordinator is responsible for working with ...

Our client, a respected medical malpractice defense firm, is seeking a highly skilled Law & Motion / Appeal Attorney to handle complex motion practice and appellate work on CAPIC litigated matters. · ,Designate, review, and analyze lower court records and related documents. · Mod ...

+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 ...

Auditor (GARS) role at CalOptima Health involves auditing provider disputes and grievance activities to ensure compliance with policies and regulatory requirements. · ...