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Grievance and Appeals Coordinator
1 week ago
Randstad North America, Inc. Los Angeles, United StatesSpeaki[ " · \tspeaking with healthcare providers and members · \tutilizing different material and navigating through systems · \tcommunicating with internal and external parties · \tformulating responses in writing to members · " ][ "Experience. Experie Coordinator, Appeals, Admi ...
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Appeals and Grievance Coordinator
1 week ago
Imperial Health Plan of California, Inc. Los Angeles, United StatesJOB TITLE: Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt · DEPARTMENT: Appeals and Grievances · REPORTS TO: Supervisor, Appeals & Grievances · JOB SUMMARY: Responsible for reviewing and resolving member complaints and appeals and communicating resolution to members ...
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Grievance and Appeals Coordinator
1 day ago
Randstad Los Angeles, United StatesA trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. Previous Grievance and Appeals experience preferred. Ability to communicate with provi ...
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grievance and appeals coordinator
2 weeks ago
Randstad Los Angeles, United Statesgrievance and appeals coordinator (ca residents). · + los angeles , california (remote) · + posted 6 days ago · **job details** · summary · + $ $22 per hour · + temporary · + high school · + category healthcare support occupations · + referenceAB_4523235 · job details · This posi ...
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grievance and appeals coordinator
2 weeks ago
Randstad Los Angeles, United Statesgrievance and appeals coordinator (ca residents). · + los angeles , california (remote) · + posted 5 days ago · **job details** · summary · + $ $22 per hour · + temporary · + high school · + category healthcare support occupations · + referenceAB_4523235 · job details · This posi ...
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grievance and appeals coordinator
2 weeks ago
Randstad Los Angeles, United Statesgrievance and appeals coordinator (ca residents). · + los angeles , california (remote) · + posted 4 days ago · **job details** · summary · + $ $22 per hour · + temporary · + high school · + category healthcare support occupations · + referenceAB_4523235 · job details · This posi ...
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Grievance and appeals coordinator
1 week ago
Randstad Los Angeles, United StatesThis position requires previous Grievance and Appeals experience. Position is remote but candidates must reside in the state of California. Schedule: Must be available to work an 8 hour shift anytime between 8am-6pm PST Pay rate: $22/hour Work equipment: Will be provided and ship ...
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Grievance and Appeals Coordinator
2 weeks ago
Randstad USA Los Angeles, United States TEMPORARY, Full timeThis position requires previous Grievance and Appeals experience. Position is remote but candidates must reside in the state of California. Schedule: Must be available to work an 8 hour shift anytime between 8am-6pm PST Pay rate: $22/hour Work equipment: Will be provided and ship ...
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Grievance and Appeals Coordinator 1
4 days ago
Workforce Connections Los Angeles, United StatesJob Title:Grievance and Appeals Coordinator 1 · 2 openings · Contract Duration: 6+ mont contract with potential to convert to full-time · Pay Rate: $20-22/hr · Location: Remote/Hybrid - must be local to Woodland Hills, CA (may need to come in for meetings) · Work Hours:M-F a ...
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Grievance & Appeals Coordinator I
5 hours ago
Centene Corporation Los Angeles, United StatesYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...
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Grievance and Appeals Coordinator 1
1 week ago
Workforce Connections Los Angeles, United StatesJob Title:Grievance and Appeals Coordinator 12 openingsContract Duration: 6+ mont contract with potential to convert to full-timePay Rate: $20-22/hrLocation: Remote/Hybrid - must be local to Woodland Hills, CA (may need to come in for meetings)Work Hours:M-F anywhere between 8am- ...
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Appeals and Grievance Coordinator
1 week ago
Imperial Health Plan Of California Inc. Pasadena, United StatesJOB TITLE: Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt · DEPARTMENT: Appeals and Grievances · REPORTS TO: Supervisor, Appeals & Grievances · JOB SUMMARY: Responsible for reviewing and resolving member complaints and appeals and communicating resolution to members ...
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Appeals and Grievance Coordinator
1 week ago
Imperial Health Plan of California, Inc. Pasadena, United StatesJOB TITLE: · Appeals and Grievance Coordinator · FLSA STATUS: · Non-Exempt · DEPARTMENT: · Appeals and Grievances · REPORTS TO: · Supervisor, Appeals & Grievances · JOB SUMMARY: · Responsible for reviewing and resolving member complaints and appeals and communicating resolu ...
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Appeals and Grievance Coordinator
6 days ago
Imperial Health Plan of California, Inc. Pasadena, United StatesJOB TITLE: Appeals and Grievance Coordinator FLSA STATUS: Non-Exempt · DEPARTMENT: Appeals and Grievances · REPORTS TO: Supervisor, Appeals & Grievances · JOB SUMMARY: Responsible for reviewing and resolving member complaints and appeals and communicating resolution to members ...
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Grievance and Appeals Coordinator
1 week ago
Randstad North America, Inc. Woodland Hills, United StatesA trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. Previous Grievance and Appeals experience preferred. Abi Appeals, Coordinator, Adminis ...
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Grievance and appeals coordinator
6 days ago
Randstad Woodland Hills, United StatesA trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. Previous Grievance and Appeals experience preferred. Ability to communicate with provi ...
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Grievance and Appeals Coordinator
1 week ago
Randstad USA Woodland Hills, United States TEMPORARY, Full timeA trusted client of Randstad's has openings for experienced Grievance and Appeals Coordinators. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. Previous Grievance and Appeals experience preferred. Ability to communicate with provi ...
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Grievance & Appeals Coordinator I
1 day ago
Centene Corporation Woodland Hills, United StatesAnalyze 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, grievances and appeals. Prep Appeals, Coordinator, Adminis ...
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Grievance & Appeals Coordinator I
3 days ago
Centene Corporation Woodland Hills, United States Full timeYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...
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Utilization Review
1 week ago
Codemax Medical Billing Los Angeles, United StatesJob Title: Utilization Review Follow Up Specialist · Reports to: Utilization Review Follow-Up Supervisor · Employment Status: Full-Time · FLSA Status: Non-Exempt · - Job Summary:_ · - Duties/Responsibilities:_ · - Monitors and manages pending utilization review and prior authoriz ...
Grievance & Appeals Coordinator I - Los Angeles, United States - TEKsystems
Description
Hiring for Grievance and appeals Coordinator
Tek Systems is currently hiring for Healthcare program coordinators for one of top healthcare company in Florida.
Description:
Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.
Education/Experience: High school diploma or equivalent. Associates degree preferred. 2+ years grievance or appeals, claims or related managed care experience. Strong oral, written, and problem solving skills.
Gather, analyze and report verbal and written member and provider complaints, grievances and appeals
Prepare response letters for member and provider complaints, grievances and appeals
Maintain files on individual appeals and grievances
May coordinate the Grievance and Appeals Committee
Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information
Assist with HEDIS production functions including data entry, calls to providers offices, and claims research.
Manage large volumes of documents including copying, faxing and scanning incoming mail.
Skills:
customer service, call center, healthcare, HIPPA, medical terminology
Additional Skills & Qualifications:
Customer Services
Appeals
Grievances
100% Remote, but needs to be near WH office for occasional meetings
Experience Level:
Expert Level
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.