Healthcare Grievance Appeal Specialist jobs - Indeed

109 Healthcare Grievance Appeal Specialist jobs available on Indeed.com. Apply to Specialist, Credentialing Specialist, Clinical Care Coordinator and more! ... Healthcare Grievance Appeal …


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How many grievance appeals specialist jobs are there?

270 Grievance Appeals Specialist jobs available on Indeed.com. Apply to Specialist, Medical Specialist, Coordinator and more! ...

What does a Appeals specialist do?

Job Summary: Under the direction of the Manager of Operations, the Appeals Specialist is responsible for ensuring the appropriate review, research, processing… More... Investigating, and resolving assigned member grievance and appeal cases ranging from low to. Healthcare system that may trigger member dissatisfaction. More... ...

What does a grievance officer do?

Coordinates with pertinent departments to effectuate resolution resulting from grievance and appeals resolution decisions made at the plan level or by… More... Develops correspondence communicating the outcome of grievances and appeals to enrollees and/or providers. ...

What does an interim supervisor of grievances & appeals do?

Under the direction of the Interim Supervisor of Grievances and Appeals, you will help to investigate and resolve member and provider grievance and appeals,… More... Maintains data entry requirements for all complaints, appeals and grievances. Builds case files for each complaint, appeal and grievance, and ensures compliance… More... ...

What does a grievance manager do?

2+ years grievance and appeals, claims or related healthcare experience, preferably in a carrier or TPA setting. Occasional: Lift and/or move up to 10 pounds. More... Develops correspondence communicating the outcome of grievances and appeals to enrollees and/or providers. Creates and maintains accurate records documenting… More... ...

How do I become a grievance manager?

Documentation: Write and manage outbound documents, correspondence, and reports within required time frames. Experience: Minimum of 1 year with a High School diploma. At least 3 years of experience within Grievances and Appeals in a managed care or healthcare environment, handling escalated or complex issues. ...

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