We have other current jobs related to this field that you can find below

  • Director of Student Affairs

    1 day ago

    Orlando, Florida, United States SOUTH COLLEGE Full time

    Job SummarySouth College is seeking a highly motivated and experienced professional to serve as Director of Student Affairs. This key leadership position is responsible for planning, organizing, and managing the Student Services Department to ensure a positive and supportive campus environment for students.Key Responsibilities:Community Engagement and Campus...

  • Behavioral Health

    1 week ago

    Orlando, United States Medusind Full time

    Job DescriptionJob DescriptionDescription:At Medusind we take immense pride in offering superior, cost-effective solutions covering the whole spectrum of tasks and processes to the healthcare industry. A significant factor is that our workforce comes with rich domain expertise and robust compliance norms.Our four-prong approach of an excellent management...

  • Intake Specialist

    7 days ago

    Orlando, United States Bounds Law Group Full time $19 - $21

    Job DescriptionJob DescriptionFirm: Bounds Law Group (boutique medical malpractice plaintiff’s firm)Two (2) Amazing Positions Available:Full-Time Intake Specialist (conduct intake interviews, gather information/records, prepare sign-up packages, etc.)Full-Time Front Office Coordinator (process mail, redact medical records, process medical records, assist...

  • Intake Specialist

    3 weeks ago

    Orlando, United States Bounds Law Group Full time $19 - $21

    Job DescriptionJob DescriptionFirm: Bounds Law Group (boutique medical malpractice plaintiff’s firm)Two (2) Amazing Positions Available:Full-Time Intake Specialist (conduct intake interviews, gather information/records, prepare sign-up packages, etc.)Full-Time Front Office Coordinator (process mail, redact medical records, process medical records, assist...

  • Director of Student Affairs

    3 days ago

    Orlando, United States SOUTH COLLEGE Full time

    Job DescriptionJob DescriptionDescription:The position of Director of Student Affairs is a full-time position. Hours will vary to accommodate the position responsibilities and supervision. All South College employees are expected to maintain professional standards, attitude, and performance levels to ensure effective, safe, ethical, and legal performance in...

  • Healthcare Access Coordinator

    6 days ago

    Orlando, Florida, United States Staffing Resource Group, Inc Full time

    Position Overview:The Patient Access Specialist plays a crucial role in facilitating patient access to essential medications and therapies. This position involves collaboration with healthcare providers and insurance entities to gather pertinent information regarding patient insurance coverage for specific pharmaceutical products.Key Responsibilities:1....

  • Patient Access Coordinator

    6 days ago

    Orlando, Florida, United States LHH Recruitment Solutions Full time

    Job OverviewLHH Recruitment Solutions is in search of a Patient Access Coordinator for a contract-to-hire opportunity. This role is pivotal within a reputable Pharmaceutical Solutions Company. Key Responsibilities:Assist patients in obtaining necessary medications and therapies.Ensure the timely progression of cases through the required processes.Conduct...

  • Financial Aid Coordinator

    2 days ago

    Orlando, Florida, United States University of Central Florida Full time

    About the OpportunityThis position is a coordinator, responsible for the coordination and supervision of Professional Judgment (PJ) to include budget adjustments, FAFSA (ISIR elements) adjustments, and dependency overrides, along with Satisfactory Academic Progress (as needed). The coordinator will also be responsible for coordinating the PJ process to...

  • Insurance Benefits Coordinator

    6 days ago

    Orlando, Florida, United States AssistRx Full time

    Job Overview - Insurance Benefits CoordinatorAt AssistRx, we have developed an exceptional combination of advanced technology and skilled professionals to achieve outstanding outcomes. We are committed to ensuring that individuals have access to the therapies that can significantly improve their lives. Our approach integrates sophisticated software...

  • Financial Aid Coordinator I

    3 months ago

    Orlando, United States University of Central Florida Full time

    The Opportunity : This position is a coordinator, responsible for coordination and supervision of Professional Judgment (PJ) to include budget adjustments, FAFSA (ISIR elements) adjustments, and dependency overrides, along with Satisfactory Academic Progress (as needed). Coordinates the PJ process to include PeopleSoft updates. This...

  • Senior Financial Crime Analyst

    3 weeks ago

    Orlando, United States Remote Jobs Full time

    Employer Industry: Cross-Border Payments and Foreign Exchange Why consider this job opportunity: Opportunity for career advancement and growth within the organization Supportive and collaborative work environment Chance to work on special projects and diverse responsibilities Engage in continuous learning and professional development Work within a globally...

  • HR Specialist and Administrative Coordinator

    6 days ago

    Orlando, Florida, United States Revology Cars Full time

    Position OverviewThe role of the HR Specialist and Administrative Coordinator at Revology Cars involves overseeing and executing initiatives that foster employee satisfaction, efficiency, and alignment with organizational goals.Key Responsibilities:Oversee the talent acquisition process, which includes crafting job advertisements, conducting interviews,...

  • HR Specialist and Administrative Coordinator

    6 days ago

    Orlando, Florida, United States Revology Cars Full time

    Position OverviewThe role of the HR Specialist and Administrative Coordinator at Revology Cars involves overseeing and executing initiatives that enhance employee satisfaction, efficiency, and alignment with corporate goals.Key Responsibilities:Oversee the recruitment and selection process, which includes crafting job advertisements, conducting interviews,...

  • Social Media

    3 months ago

    Orlando, United States Vadenchevroletpooler Full time

    Naples Motorsports in Naples, FL is a premier source for the finest vehicles from the world's most elite auto manufacturers and an authorized dealerfor Alfa Romeo, Karma, Lotus, Rimac, Morgan, and Vanderhall. Weoperate like an independent, not a dealership, prioritizing loyalty to our customers over the car maker.We are committed to servicing the exotic car...

  • Entry Level Event Coordinator

    1 month ago

    Orlando, United States Sales Bizlab Full time

    Job DescriptionJob DescriptionAbout Sales BizlabAt Sales Bizlab we believe in the individuality of each client, therefore, the solutions that we provide are unique and molded to each of their specific needs. The root of our success lays in our extensive experience across different geographical locations, mediums and markets. Today, Sales Bizlab we enjoy a...

  • Entry Level Event Coordinator

    3 weeks ago

    Orlando, United States Sales Bizlab Full time

    Job DescriptionJob DescriptionAbout Sales BizlabAt Sales Bizlab we believe in the individuality of each client, therefore, the solutions that we provide are unique and molded to each of their specific needs. The root of our success lays in our extensive experience across different geographical locations, mediums and markets. Today, Sales Bizlab we enjoy a...

  • Product Marketing Coordinator

    3 weeks ago

    Orlando, United States Swipe Say Easy Full time

    We are looking to hire a Product Marketing Coordinator to join our team. As the Product Marketing Coordinator, you will be responsible for providing day-to-date marketing and administrative support for the Campaign Management Team. Help the team determine the most marketable features of products and then build marketing campaigns focusing on these features...

  • Product Marketing Coordinator

    3 weeks ago

    Orlando, United States Swipe Say Easy Full time

    We are looking to hire a Product Marketing Coordinator to join our team. As the Product Marketing Coordinator, you will be responsible for providing day-to-date marketing and administrative support for the Campaign Management Team. Help the team determine the most marketable features of products and then build marketing campaigns focusing on these features...

  • Financial Aid Coordinator I

    1 month ago

    Orlando, United States University of Central Florida Full time

    Unleash YOUR Potential With Us As a next-generation public research institute and Forbes-ranked top employer in Florida, we are an inclusive community of thinkers, doers, creators, innovators, healers, and leaders striving to shape the future and solve the world’s most challenging problems. No matter what your role is, when you join Knight Nation, you’ll...

  • Professional Surveyor and Mapper

    3 weeks ago

    Orlando, United States CPH Full time

    Job DescriptionJob DescriptionDescriptionCPH is looking for Professional Surveyor and Mapper in Florida. We understand that in order to be successful, you need technology, quality, and safety. Hiring Bonus potential for selected candidate! This position may be eligible for remote (Florida). As a Professional Surveyor and Mapper you will have the opportunity...

Grievance & Appeals Coordinator (Mostly Remote)

2 months ago

Orlando, United States Amerit Consulting Full time

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Grievance & Appeals Coordinator.

______________________________________________

NOTE- THIS IS LARGELY REMOTE ROLE (WILL NEED TO GO ONSITE IN CASE OF POWER/INTERNET OUTAGE) & ONLY W2 CANDIDATES/NO C2C/1099

*** Candidate must be authorized to work in USA without requiring sponsorship ***

Position: Grievance & Appeals Coordinator (Job Id - 2541718)

Location: San Francisco CA 94104 (Hybrid, mostly remote)

Duration: 6 Months + Possible Extension

_________________________________________________

Will need to work onsite if internet/power connections prevent effective completion of work.

  • Estimated MINIMUM of 5 days of department orientation and training are required and will be onsite at Mission Bay.
  • There is a potential opportunity to support onsite needs at Mission Bay and/or Parnassus, including patient rounding.

________________________________________________

  • We are looking for someone who has direct experience handing complaints and grievances within a large hospital setting.
  • Will consider candidates who have 6+ months of experience

Candidates must have the following experience and shown their resume:

  • Experience researching and responding to member grievances and appeals, while meeting regulatory requirements.
  • A background in grievance and appeals case processing
  • Strong knowledge of federal & state regulations and Medicare/Medi-Caid regulations.
  • Ability to compose high quality, detailed written communication
  • Experience with EPIC
  • In this position, this person will be:
  • Responsible for handling the review process for grievances, appeals, or denials including investigating, preparing and presenting appropriate materials for review.
  • Resolving member concerns in partnership with internal and external departments while ensuring compliance with regulatory rules and timeframes, within mandated timeframes and compliance.
  • Ensuring appeal are processed in accordance with regulations, compliance standards and policies and procedures.
  • Meeting timeframes for performance with balancing the need to produce high quality work related to complex, and sensitive member issues.
  • Investigating all issues, including collection of appropriate data, preparation and presentation of documents to decision makers.

________________________________________________________________

Bhupesh Khurana

Lead Technical Recruiter

Email - bkhurana@

Company Overview:

Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally, as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients businesses forward.

Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws