• Insurance Appeals Coordinator

    Munson Healthcare (Traverse City, MI)
    …five (5) years' experience in a revenue cycle role (billing, registration, insurance verification, referral coordinator , etc) . Ability to work independently ... of Utilization Management and works closely with the Utilization Management and Appeals team . Interacts independently with all Munson Health Care departments.… more
    Munson Healthcare (07/20/25)
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  • Grievance & Appeals Coordinator I

    Centene Corporation (Phoenix, AZ)
    …**Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. ... and report verbal and written member and provider complaints, grievances and appeals + Prepare response letters for member and provider complaints, grievances and… more
    Centene Corporation (07/25/25)
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  • Clinical Appeals Coordinator

    Centene Corporation (Salem, OR)
    …workplace flexibility. **Position Purpose:** Act as the liaison for all statewide appeals , fair hearings, review organizations, and other external type appeals . ... NCQA requirements. **(PST preferred).** + Review clinical information for all appeals utilizing nationally recognized criteria to determine medical necessity of… more
    Centene Corporation (07/16/25)
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  • Grievance & Appeals Coordinator I

    Centene Corporation (Phoenix, AZ)
    …**Position Purpose:** Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. ... and report verbal and written member and provider complaints, grievances and appeals + Prepare response letters for member and provider complaints, grievances and… more
    Centene Corporation (07/09/25)
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  • Appeals Coordinator , Geisinger…

    Geisinger (Danville, PA)
    Job Summary Provides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with appeals regarding ... and concerns regarding quality of care or service. PresentsMember appeals to the Plan Medical Staff and Center for...(DOL), the Department of Health (DOH), the Department of Insurance (DOI), the National Committee for Quality Insurance… more
    Geisinger (07/28/25)
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  • Grievance & Appeals Coordinator II

    Centene Corporation (Phoenix, AZ)
    …Purpose:** Analyze and resolve verbal and written claims and authorization grievance/ appeals from providers and members. Resolve all State inquires related to ... complaints, grievances and appeals . + Review and process member and provider grievances...offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid… more
    Centene Corporation (07/29/25)
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  • Administrative Assistant II (Criminal…

    State of Colorado (Denver, CO)
    Administrative Assistant II (Criminal Appeals ) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5023135) Apply  Administrative Assistant II ... (Criminal Appeals ) Salary $40,036.50 - $50,983.50 Annually Location Denver, CO...3 administrative professionals, a paralegal, and a victim services coordinator . The team is responsible for defending criminal convictions… more
    State of Colorado (07/28/25)
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  • Grievance & Appeals Specialist

    Robert Half Accountemps (Los Angeles, CA)
    …guidelines for use by examiners or Participant Services Representatives. * Assist Appeals Coordinator with the preparation of Benefits Committee appeal cases. ... is in the immediate need of a Grievance & Appeals Specialist. The Grievance & Appeals Specialist,...2 years of experience as a Medical Claims Review Coordinator or in a similar role * Proficient in… more
    Robert Half Accountemps (07/20/25)
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  • Insurance Coordinator - Corporate…

    Guthrie (Sayre, PA)
    …as well as identifies, analyzes and takes the necessary action to submit complex appeals to insurance payers. Reviews all medical chart and account documentation ... to determine appropriate coding and initiate corrected claims and appeals . Interprets payer guidelines, regulatory guidelines, contractual obligations and works… more
    Guthrie (06/24/25)
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  • Program Coordinator - Adult & Special…

    Iowa Department of Administrative Services (State Of Iowa, IA)
    Program Coordinator - Adult & Special Services Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5024760) Apply  Program Coordinator - Adult & ... IA Job Type Full-time Job Number 26-00249 Agency 427 Department of Inspections, Appeals & Licensing Opening Date 07/29/2025 Closing Date 8/12/2025 11:59 PM Central… more
    Iowa Department of Administrative Services (07/30/25)
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