Claims - Appeal and Grievance Coordinator

Join us for an exciting career with the leading provider of supplemental benefitsOur PromiseThrough skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.The Appeals and Grievances Coordinator serves as the...

We are recruiting for a motivated Grievance and Appeal Intake Coordinator - Denver Health Medical Plan (Must Be A Resident of Colorado) to join our teamWe are here for life's journey.Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in...

Job SummaryWe're seeking a detail-oriented Appeals Representative to review, research, and process expedited appeal requests for Highmark Senior Product members. This role ensures all appeal cases are handled accurately, timely, and in compliance with CMS and NCQA regulatory standards.ResponsibilitiesReceive, investigate, and triage expedited appeal requests...

Company Description:Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end clinical and operational management care populations, and risk-adjusted entities. We support organizations as they navigate a dynamic healthcare ecosystem by helping them manage risk, optimize healthcare spend, improve member experience,...

STAR Medical Auditing Services is a boutique consulting firm that provides Health Information Management (HIM) and Clinical services to various organizations in the healthcare ecosystem across the U.S. We pride ourselves in providing high-quality services that are tailored to our clients' specific needs, while creating joyful experiences along the way by...

Hi, we're Oscar. We're hiring a Specialist Admin Complaints, Grievances & Appeals to join our Complaints, Grievances & Appeals team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for...

Job Title: Non-Clinical Coordinator – Appeals IntakeBusiness Area: Grievance & Appeals / Clinical OperationsJob Type: SubconLocation: Florida (remote)Position Purpose:The Non-Clinical Coordinator is responsible for the initial intake and review of appeal cases to ensure all required documentation is present. This role supports the appeals process by...

Your Future Evolves HereEvolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved...

Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client's needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative.  As...

Clinical Appeals and CDI SpecialistFull time & Part time/RemoteCoding AID, a division of Managed Resources Inc. is a nationwide leading provider of medical coding support, coding and compliance reviews, educational programs, recruitment, revenue cycle management, and many other managed healthcare solutions. We're proud to have served healthcare organizations...