RN Provider Appeals Coordinator - Troy, MI

Engagement Description · The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies. The Coordinator is expected to analyze the customer's conc ...

Engagement Description · The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies. The Coordinator is expected to analyze the customer's conc ...

Title: Grievance & Appeals Coordinator · Location: Detroit, MI (Fully Remote) · Duration: 12+ Months (Chance of converting) · Role Type: W2 Contract Engagement · Note: · Individuals will be responsible for analyzing, researching, resolving, and responding to complaints, appeals, ...

Grievance & Appeals Coordinator | Remote | Contract · Walker Healthforce is seeking a Grievance & Appeals Coordinator with 2+ years of experience. This is a 6-9 month contract opportunity. · CORE REQUIREMENTS: · 2 years in customer service/concierge services · Strong critical t ...

The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, · analyze the customer's concerns, · Analytical mindset- having the ability to examine a matter, · Excellent written and verbal communic ...

The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, · Analytical mindset- having the ability to examine a matter, · Excellent written verbal communication skills, · Ability to analyze in ...

Supports two attorneys and focuses on advanced case development hearing readiness and attorney coordination. Caseload ranges from. · ...

We are a mission-driven law firm focused on Social Security Disability and Veterans' disability benefits. Our team is made up of dedicated professionals across intake, applications and appeals, · Caseload ranges from · This role supports two attorneys and focuses on advanced cas ...

This position focuses on podcast and video content, marketing campaign strategy, and engagement analytics. The associate will be responsible for the firm's podcast revamp, as well as social video production, creative ad drafting, and outreach to partners and media. · ...

Scope Of Work · Under general direction, integrates cost, quality and utilization to facilitate the admission, continued stay and discharge of the patient. Reviews and evaluates appropriateness of admission or continued stay based on medical necessity. The overall goal of the pos ...

Position Overview: · Case Manager handles cases from post-reconsideration denial through hearing preparation and Appeals Council (if applicable). · This role supports two attorneys and focuses on advanced case development, hearing readiness, and attorney coordination. Caseload ra ...

+ Job summary: As the SIM Product Communications Leader, you will drive the development and implementation of communication strategies across the Simulation (SIM) segment. + Qualifications: Exceptional oral and written communication skills. Proven ability to work effectively with ...

We are seeking a highly organized and empathetic Social Security Case Manager to support our clients through the disability benefits process.This role is ideal for someone with strong administrative skills, case management experience, and the ability to handle high-volume, deadli ...

The Eligibility Processor will review and process eligibility inquiries as well as determine, maintain, and terminate member and/or dependent eligibility for healthcare benefits. · Process month end reporting · Use reports to determine eligibility, reinstatement, or termination o ...

The Substance Abuse Professional guides clinical services delivery and implements OCHN's strategic vision and plan with Providers within the Service Network. · Provides clinical content expertise to SUD Network Providers for service initiatives development. · Writes policies and ...

Join our team at Corewell Health and make a difference in the lives of our patients guests and team members through your passion for creating delicious nutritious food options. · ...

We are a leading global software company dedicated to the world of computer aided design, 3D modeling and simulation— helping innovative global manufacturers design better products, faster With the resources of a large company, and the energy of a software start-up,Serve as prima ...

This position has the following primary objectives with respect to customer relations: provide follow-up,courteous,and prompt resolution to internal and external customer inquiries by conducting thorough investigations; support corporate goals(member enrollment activities); resea ...

This position has the following primary objectives with respect to customer relations for all HAP product lines: (1) Provide follow-up and courteous and prompt resolution to internal and external customer inquiries by conducting thorough investigations and fully educating custome ...

· The Substance Abuse Professional (Clinical Analyst - SUD) guides clinical services delivery and implements OCHN's strategic vision and plan with the respective Providers within the Service Network, including initiatives and projects that advance service recipient involvement, ...