- Kelsey-Seybold Clinic (Pearland, TX)
- …resources to meet both Corporate and CMS regulatory standards. **Job Title: Appeals & Grievances Coordinator ** **Location: Pearland Administrative Office** ... **Responsibilities** This role actively manages all Medicare reconsiderations, grievances , and appeals , adhering to company policies and CMS regulatory… more
- Dignity Health (Bakersfield, CA)
- …This position is remote/work from home** **within California** **.** **Position Summary:** The Appeals and Grievances Coordinator is responsible for managing ... compliance with regulatory requirements, and facilitating timely and effective resolution of appeals and grievances . Acting a subject matter expert (SME) the… more
- Centene Corporation (Phoenix, AZ)
- …claims and authorization appeals from providers and pursue resolution of formal grievances from members. **Must reside in the state of Arizona for this role.** + ... analyze and report verbal and written member and provider complaints, grievances and appeals + Prepare response letters for member and provider complaints, … more
- Geisinger (Danville, PA)
- …Services contracted reviewer. Job Duties + Prepares and facilitates Member appeals , complaints and grievances by communicating directly with Members, ... Job Summary Provides support in administration of the Appeals and Grievance process. Serves as a liaison...the full details of the appeal and complaints and grievances by consulting with, but not limited to, health… more
- CDPHP (Albany, NY)
- …share these values and invites you to be a part of that experience. The Appeals Coordinator is responsible for the timely and accurate triaging all appeals ... necessary information to process their requests within regulatory guidelines. The Appeals Coordinator is also responsible for daily/weekly/monthly department… more
- G-TECH Services, Inc. (Detroit, MI)
- Process appeals and grievances , analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. ... Skills/Experience - Optional but preferred skills/experience. Include: * Grievance and Appeals experience. * Degree in Healthcare/computer skills * Experience in… more
- University of Utah Health (Salt Lake City, UT)
- …and set goals for staff workloads. + Ensure that staff are processing Grievances and Appeals efficiently and in compliance with applicable policies, regulations, ... + Provide education to staff and other departments on Appeals and Grievances . + Develop process improvement...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- Baylor Scott & White Health (Temple, TX)
- … and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written complaints, grievances ... Intakes and processes written and fax referred cases from member and provider appeals and complaints for all lines of business, ensuring compliance with applicable… more
- Medical Mutual of Ohio (OH)
- …new or updated CMS regulations, Coverage Gap Discount, Coverage Determinations and Appeals , Grievances , and Medicare marketing material requirements. . Assists ... new or updated CMS regulations, Coverage Gap Discount, Coverage Determinations and Appeals , Grievances , and Medicare marketing material requirements. . Assists… more
- State of Colorado (Lakewood, CO)
- …employment laws, progressive discipline, records management, recruitment, responding to grievances , appeals , charges of discrimination, reorganization matters, ... Benefits Coordinator Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4793661) Apply Benefits Coordinator Salary $57,708.00 - $92,340.00… more