PRINCIPAL RESPONSIBILITIES: Under general direction of the Grievance and Appeals Leadership, the Grievance and Appeals.... Thoroughly document the investigation and resolution of each case. Maintain an accurate and complete appeals/grievance record...
Grievance and Appeals (G&A) Coordinator II will review, investigate and process non-complex grievances for all lines of business...Job Description: PRINCIPAL RESPONSIBILITIES: Under general direction of the Grievance and Appeals Leadership, the...
Under the direction of the Revenue Cycle Manager, the Appeals and Grievances Coordinator will research, evaluate..., and respond in a timely manner to appeals and grievances related to claims or prior authorizations. The coordinator will interpret...
This is a work-from-home position with a pay rate of $18.50 per hour. SUMMARY The Grievance Coordinator... & QUALIFICATIONS High School Diploma or equivalent. 1-2 years experience in appeals and grievance, utilization management, or member...
and Appeals Coordinator for a contract opportunity with one of our largest clients located in Detroit, MI! Title: Grievance... Job ID: JOB-239498 Publish Date: 12 Dec 2024 Tagged as: Grievance & Appeals Coordinator...
SUMMARY The Grievance Coordinator is responsible for timely intake, processing, researching, documenting... or equivalent. 1-2 years experience in appeals and grievance, utilization management, or member services preferred...
and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-performance programs, including data entry...: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal...
Description POSITION SUMMARY: To be fully engaged in providing Uncompromised Safety, Superior Quality, Memorable Patient/Customer Experiences, and Financial Stewardship by resolving member complaints in a timely, professional and compli...
with appropriate parties verbally or written regarding appeals and grievance issues, implications, and decisions. Manage... Responsibilities: Reviewing, researching, investigating, and resolving written/oral appeals and grievances submitted by consumers...
Job Description: Your Role The Appeals and Grievance Department Regulatory team is responsible for responding..., Customer Services, Regulatory Affairs and/or Appeals/Grievances, at least 1 year of which is Appeals/grievance direct...
but not limited to educational programs, employment, and admission. Working with campus partners, the Title IX Coordinator will lead... for all individuals involved in a Title IX investigative process. The Title IX Coordinator has primary responsibility for coordinating...
but not limited to educational programs, employment, and admission. Working with campus partners, the Title IX Coordinator will lead... for all individuals involved in a Title IX investigative process. The Title IX Coordinator has primary responsibility for coordinating...
Job Description: Your Role The CalPERS team within the Appeals and Grievance Department is responsible..., other departments, regulatory agencies, etc. to resolve issues relating to CalPERS appeals and grievance processing...
according to regulations. Prepares initial groundwork for appeals and grievances before handing-off case. Responsible for database accuracy... and ensuring compliance. Essential Responsibilities: Participates in managing the organizations Complaint, Grievance...
appeals process. Work with departments/divisions to reconcile any changes, questions, inequities, and production needs... taxation. Provide information from Board of Tax Appeals (BOTA) relating to tax exemptions. Enter and update exemption...
appeals process. Work with departments/divisions to reconcile any changes, questions, inequities, and production needs... taxation. Provide information from Board of Tax Appeals (BOTA) relating to tax exemptions. Enter and update exemption...
and actively participates in the functioning of the plan’s grievance and appeals processes. Along with the nurse supervisor... and coordinator to improve their knowledge, independence, and understanding. Serves as medical expert for care management...
skills and ability to work with Microsoft Office products. Requires the ability to use the complaint, grievance and appeals... in understanding the complaint, grievance and appeal process. Participates in training and staff development opportunities. Actively...
compliance or grievance procedures contact: Affirmative Action/Equal Opportunity Officer; Title IX Coordinator: Amanda Dunn... coordination of financial aid verification paperwork, financial aid appeals and applications, admission applications, residency...