Showing 1-10 of 21
Showing 1-10 of 21
Grievance Appeal Rep jobs

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UHC Clinical Services - Cypress, CA

Distinguish between Quality of Care, Appeal, Grievances, Expedited,. Appeal or grievance review procedures according to relevant regulatory....

UnitedHealth Group - Phoenix, AZ

This could include connecting members with community resources, assisting members to locate a specialist, supporting the intake and resolution of appeals and...

UnitedHealth Group - New York, NY

This could include connecting members with community resources, assisting members to locate a specialist, supporting the intake and resolution of appeals and...

Aetna - Dallas, TX

Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target system....

MAXIMUS - Cleveland, TN

Coordinate and process intake referrals (incoming calls, voicemail, and email) Respond to calls, provide responses to questions, and refer clients to the

MAXIMUS - Chattanooga, TN

Coordinate and process intake referrals (incoming calls, voicemail, and email) Respond to calls, provide responses to questions, and refer clients to the

Geisinger Health System - Wilkes-Barre, PA

Responsible to communicate to members and/or providers the complaint/appeal and grievance process. Documents complaint/appeal and grievances and forwards to the...

UnitedHealth Group - Cypress, CA

Distinguish between Quality of Care, Appeal, Grievances, Expedited,. Appeal or grievance review procedures according to relevant regulatory....

DentaQuest - Milwaukee, WI

Complaints, Grievances & Appeals – includes a process for specific handling of radiographs or photos. The Digital Services Rep is responsible for a significant...


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