- G-TECH Services, Inc. (Detroit, MI)
- …Multi-task Preferred Skills/Experience - Optional but preferred skills/experience. Include: * Grievance and Appeals experience. * Degree in Healthcare/computer ... Process appeals and grievances, analyze, research, and provide comprehensive...analyzing a claim * Experience in classification between a grievance /appeal/organizational determination. * Letter writing * Basic computer skills.… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** The Appeals and Grievance Coordinator is responsible for intake into the Appeals and Grievances Department, including verbal and written ... complaints, grievances and requests for appeals that involve complex matters submitted by Members and...of all regulatory requirements as they apply to complaint, grievance and appeal processes. + Proficient in Microsoft applications,… more
- University of Utah Health (Salt Lake City, UT)
- …EO/AA_ + Supervise the day-to-day activities of staff who process member and provider Grievance and Appeals . + Monitor and set goals for staff workloads. + ... operated in accordance with applicable law. + Demonstrated understanding of insurance appeals and grievance processes. + Demonstrated experience in improving… more
- Geisinger (Danville, PA)
- Job Summary Provides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with appeals regarding ... Health Plan and external entities, communicating with all entities involved throughout the appeals and grievance process. + Maintains strict compliance with all… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The Appeals intake coordinator position is focused on the processing of incoming member and provider Medicare appeals and grievances. This team ... Health - 1239 E Beltline - Grand Rapids Department Name PH - Grievance And Appeals Medicare Employment Type Full time Shift Day (United States of America) Weekly… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …medical quality of care and actively participates in the functioning of the plan's grievance and appeals processes. + Along with the nurse supervisor and manager ... URAC, ERISA or state regulations. + Supports training of the nurses and coordinator to improve their knowledge, independence, and understanding. + Serves as medical… more