A company is looking for an Appeals and Grievances Specialist to ensure timely resolutions to member complaints and appeals in compliance with regulatory requirements.
Key ResponsibilitiesReview and process member appeals related to healthcare services and claimsConduct investigations of member appeals and grievances, collaborating with internal departmentsMaintain detailed case documentation and prepare reports on appeals and grievances activityRequired Qualifications and EducationBachelor's degree in healthcare administration, business, public health, or a related field preferred2+ years of experience in healthcare appeals and grievances, claims, or related member services rolesFamiliarity with health plan operations and regulatory compliance for Medicare, Medicaid, and commercial insuranceStrong knowledge of healthcare regulations and managed care policiesProficiency in Microsoft Office and healthcare management systems
Appeals and Grievances Specialist
A company is looking for an Appeals and Grievances Specialist to ensure timely resolutions to member complaints and appeals in compliance with regulatory requirements. ...
Director of Appeals and Grievances
A company is looking for a Director of Appeals and Grievances. ...
Complaints and Grievances Specialist
A company is looking for a Complaints & Grievances Specialist II to handle investigations and resolutions of complaints and grievances. ...
Bilingual Administrative Assistant - $18.24 per hour - Hiring Immediately!
CornerStone Staffing is seeking a Bilingual Administrative Assistant. Bilingual Administrative Assistant. CornerStone Staffing has partnered with Dallas County to seek a detail-oriented Administrative Assistant. Minimum of three years of experience in an administrative role. ...
Seasonal Retail Sales Associate
Our store associates are passionate about creating a hassle-free shopping experience for our customers through their eagerness to help, in-depth product knowledge, high brand and execution standards, and ability to prioritize. Create an inclusive store environment where everyone (associates & custom...
Business Analyst - Accounts Payable
A company is looking for a Business Analyst - Accounts Payable Automation. ...
Debt Collections Specialist
As a Collection Specialist with ProCollect, you will carefully adhere to policies, procedures and laws related to consumer collections. Additional responsibilities of the Collection Specialist include:. ...
Mortgage Servicing Collections Specialist
Mortgage Servicing Collections Specialist. Mortgage Servicing Collections Specialist. The Mortgage Servicing Collections Specialist assists Guardian Mortgage clients who are behind on payments to avoid or overcome delinquency. Through an assortment of collections calls and correspondence, Collection...
Content Creator Specialist - Collections
The Content Creator is responsible for developing engaging, creative, and consistent content across all Collections customer communication channels. ...
Seasonal Retail Fragrances Sales Associate, NorthPark Center
Are you ready to make this holiday season magical for our shoppers? As a Seasonal Fragrance Sales Associate, you greet customers in the Fragrance department and assist the current sales team with completing transactions. Be proficient in Macy's point of sale systems and company devices to promote ou...