- TEKsystems (Baltimore, MD)
- TekSystems is currently hiring for a FULLY REMOTE Grievance and Appeal Intake Specialist! This position must sit near or local to the DMV area! MUST HAVE: Any ... medical administrative/data entry experience, or anything related to grievance and appeal intake specialist background !...cabinets. Physical Demands: The physical demands described here are representative of those that must be met by an… more
- Point32Health (Watertown, MA)
- …documentation and correspondence to the member outlining final disposition of the member's appeal or grievance providing further appeal options as ... of business. **Job Description** + Act as a member advocate; clearly communicating the appeal and grievance process and procedures both orally and in writing. +… more
- LA Care Health Plan (Los Angeles, CA)
- …timely and culturally-appropriate manner. Coordinates, tracks, and resolves internal and external appeal and grievance complaints for LA Care Plan Partners, ... including identifying opportunities for improvement. Ensures timely appeal and grievance reporting to regulatory agencies, internal Regulatory Affairs and… more
- State of Colorado (CO)
- …Personnel Director. An appeal or review must be submitted on the official appeal form, signed by you or your representative . This form must be delivered ... referrals and consultations, medical reporting, medical co-signature and inmate grievance requirements are completed in accordance with DOC Administrative… more
- Commonwealth Care Alliance (Boston, MA)
- …any requested documents including provider listings in their areas. * Complete comprehensive appeal and grievance intakes. * Collaborate with the member to ... accurately document their appeal or grievance concern by ensuring all...of concerns or complaints conveyed by members and their representative . * Conduct research to provide accurate and informed… more
- CUNY (New York, NY)
- …immigration. The Special Counsel serves as hearing officer of disciplinary and grievance proceedings and represents the College at higher levels of the disciplinary ... and grievance processes. The Special Counsel also serves as the...as student disciplinary appeals; advocates the College's position at appeal hearings. - Works with attorneys in CUNY's Office… more
- City and County of San Francisco (San Francisco, CA)
- …Duties: According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are ... of understanding; implements pay provisions of arbitration awards, mediated and grievance settlements; and reviews, analyzes, and processes requests for special pay… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …defined process for handling Medicare Grievances, identify differences between an inquiry, grievance , & appeal , and meet specific schedule requirements (may have ... **Additional Accountabilities and Essential Functions** _The Physical Demands described here are representative of those that must be met by an employee to… more
- Kelly Services (Fairport, NY)
- …administrative and member support tasks. + Utilizing your understanding of the Grievance & Appeal process and other relevant terms. **Essential Qualifications:** ... - 6 month project **What's a typical day as a Medicare Customer Service Representative ? You'll be:** + Under the general direction of the Supervisor, performs a… more
- Ramsey County (Maplewood, MN)
- …or without cause. Employees in the unclassified service have no right to a grievance appeal from discharge or other disciplinary action under sections 383A.281 ... measures for departmental activities + Serve as a department representative during contract negotiations with collective bargaining agreements; research issues… more
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