Complaint & Appeals Coordinator (Must reside in Arizona) - Phoenix

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 ...

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

+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 ...

You could be the one who changes everything for our 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. · ...

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 ...

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. · ...

+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 · ...

Analyze and resolve verbal and written claims and authorization appeals from providers. · ...

Pride Health is hiring for a Grievances and Appeals Nurse. · ...

As Trust and Safety Team Lead you will manage a pod of appeals specialists while supporting our appeals and operational framework that scales with Trust Risk. · ...

A leading U.S. real estate management company is looking to hire a Senior Manager, Real Estate Tax. · Manage the property tax appeal process for all managed and private properties · Quarterly reporting – savings analysis, open appeals report, · ...

Our law firm has an opening for a Legal Billing Specialist who will work closely with attorneys and accounting department staff to complete the full billing cycle. · ...

+ Zelms Erlich Lenkov is a dynamic, rapidly growing law firm operating in California, Arizona, Texas, New Mexico and New York who has an opening for a Legal Billing Specialist. · ...

This Team and Make an Impact · Are you a strategic property tax professional ready to lead and optimize real estate tax operations? · Evaluate property tax assessments and determine appeal viability using cost, income, and sales comparison approaches · Conduct comprehensive case ...

We are seeking a dedicated and organized Operations Manager to oversee and optimize day-to-day operations at B&C Tree Service. · This full-time, on-site role is based in the Greater Phoenix Area and involves managing schedules, coordinating crew and equipment, and ensuring projec ...