Appeals Grievances jobs

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Appeals Representative Associate
UnitedHealth Group 2,436 reviews - San Antonio, TX
Analyzes and identifies trends for all appeals and grievances. Communicates with appropriate parties regarding appeals and grievance issues, implications and...
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Appeals/Denial Specialist II
Molina Healthcare 189 reviews - Charleston, SC
Prepare responses to provider grievances / appeals. Manages submission, intervention and resolution of appeals, grievances, and/or complaints from Molina...
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Clinical Appeals Reviewer Multiple Locations
UnitedHealth Group 2,436 reviews - Philadelphia, PA
Basic appeal rights, Appeals status, General process, Basic complaints, Urgent appeals. Analyze and identify trends for Appeals and Grievances....
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Inquiry Dispute / Appeals Specialist - Vancouver

Molina Healthcare 189 reviews - Vancouver, WA  +1 location
Assesses level of determination and/or appeal. Maintain well-organized, accurate and complete files for all appeals....

Appeals and Grievances Specialist

APS Healthcare 78 reviews - Houston, TX
Responsible for monitoring effectuation of all resolution/outcomes as a result of the appeal or grievance process....

Grievance & Appeals Specialist

VillageCare 9 reviews - Manhattan, NY
Enter all appeals and grievances in the software tracking system. Knowledge of appeals and grievances, claims processing or utilization management/case...

Appeals Clinical Reviewer RN OR OT

Commonwealth of Massachusetts 108 reviews - Shrewsbury, MA
Under the direction of the Associate Director of Appeals, Regulatory Compliance and Complex Cases the Appeals Reviewer ( RN or OT) is responsible for the...

Grievance & Appeals Specialist - Boca Raton, FL

Conifer 230 reviews - Boca Raton, FL
Escalate exhausted appeal efforts for resolution. Follow specific payer guidelines for appeals submisson. Generate an appeal based on the dispute reason and...

Appeals Specialist - Medicare Appeals & Grievances

Independence Blue Cross 296 reviews - Philadelphia, PA
Appeal or grievance. The Appeals Specialist - Medicare Appeals & Grievances. The Appeals Specialist - Medicare Appeals &....

Appeals & Grievances Case Specialist

HealthCare Talent - Los Angeles, CA
$24 an hour
Handles provider complaints, appeals and disputes for nation's largest publicly operated Health Plan. Must have background in Managed Care, strong advocacy...
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Supervisor, Appeals and Grievances

Health Net, Inc. 8 reviews - Woodland Hills, CA 91367
Provides approval decisions involving grievance and appeal determinations. Continually trains Unit members concerning grievances, appeals, and provider disputes...

Appeals Clinical Reviewer RN OR OT

University of Massachusetts Medical School 52 reviews - Shrewsbury, MA
Under the direction of the Associate Director of Appeals, Regulatory Compliance and Complex Cases the Appeals Reviewer ( RN or OT) is responsible for the...

Appeals Specialist

Kaiser Permanente 2,816 reviews - Burbank, CA
The Appeals Specialist facilitates member grievance and appeal process by investigation, documentation and preparation of case files to meet all regulatory...
Senior Appeals Representative
UnitedHealth Group 2,436 reviews - Phoenix, AZ
Communicates with appropriate parties regarding appeals and grievance issues, implications and decisions....
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Company with Appeals Grievances jobs
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier