Grievance & Appeals Coordinator I - 210056 - Los Angeles

Greivance and Appeals Coordinator · HealthCare Support is actively seeking a Greivance and Appeals Coordinator to fill an opening in Woodland Hills, California. · Daily Responsibilities For Greivance And Appeals Coordinator · Appeals & Grievance Coordinator with 10+ years of hea ...

+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. · ...

· Company Description · Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracte ...

· Job Number: · Position Title: · Appeals & Grievance Coordinator · External Description: · Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships ...

Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. · Position Purpose: · Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of fo ...

· Job Number: · Position Title: · Appeals & Grievance Coordinator · External Description: · Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships ...

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. 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. · ...

Crystal Stairs, Inc. · Improving the Lives of Families through · Child Care Services, Research, and Advocacy · Crystal Stairs is committed to building and sustaining a diverse, fully vaccinated workforce and culture. As part of this commitment, Crystal Stairs does not and shall ...

+ Pace is a community nonprofit organization serving over 60,000 residents annually across Los Angeles County. PACE Energy helps low income families and individuals with utility assistance improving home comfort safety and energy efficiency through state and federal programs such ...

The Medicare Audit Risk Management is responsible for managing Medicare accounts receivable, · The Auditor works closely with billing, coding, clinical, and compliance teams to protect revenue while maintaining compliance with CMS and MAC requirements. · ...

The Medicare Audit Manager is responsible for managing Medicare accounts receivable with a primary focus on payment takebacks recoupments and demand letters issued by Medicare. This role ensures timely response to Medicare payment adjustments appeal determinations and recoupment ...

Job Title : Executive Assistant · Location : West Hollywood, CA Hybrid) · Duration : 13+ weeks contract · Description :- · Years of Experience (minimum): 3-5yrs of Executive Assistant level experience · Shift Time (On-site/hybrid/remote): Hybrid – onsite when Executive is onsite ...

This position combines clinical, business, and regulatory knowledge to reduce financial risk through denials management.Reviews denials for level of care, medical necessity. · Coordinates appeal strategies with physicians and payors. · ...

Crystal Stairs, Inc. · Improving the Lives of Families through · Child Care Services, Research, and Advocacy · Crystal Stairs is committed to building and sustaining a diverse, fully vaccinated workforce and culture. As part of this commitment, Crystal Stairs does not and shall n ...

Tax Sr. Manager, Real Estate - NO RELOCATION · Join this Team and Make an Impact · Are you a strategic property tax professional ready to lead and optimize real estate tax operations? We're seeking an experienced Senior Manager, Real Estate Tax, to take ownership of corporate pro ...