Top 74 Claims coordinator Jobs in Upland Ca

Grievance and Appeals Coordinator
JM Temporary Services and Affiliates —Rancho Cucamonga, CA
- $21.00 - $23.98 an hour
- Online Application
- Spanish
- Microsoft Excel
- English
Quick Apply
Claims Coordinator
Azul Vision —Chino, CA
- $21 - $23 an hour
- Full-time
- Computer literacy
- Mid-level
- High school diploma or GED
Quick Apply
10d
Benefits Coordinator
Coastal Pacific Food Distributors —Ontario, CA
- $26.50 - $33.50 an hour
- Full-time
- Microsoft Word
- Spanish
- Public speaking
- 401(k)
13d
Claims Coordinator
ServiceMaster Restore 10253 - Mission Viejo —Riverside, CA
- $20 - $30 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
Claims Letter Correspondence Coordinator
Choice Physicians Network Inc —San Bernardino, CA
- $20 - $31 an hour
- Full-time
- Hybrid work
- Mid-level
- Neurology
Quick Apply
Insurance/Financial Coordinator(Dental exp is a must!)
Hoff Orthodontics —Upland, CA
- Full-time
- Dental office
- In-person
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Environmental Health and Safety Coordinator (EHS)
Rapid Manufacturing —Anaheim, CA
- $75,000 a year
- Full-time
- Word processing
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Logistics Coordinator
iMomoko.com —South El Monte, CA
- $20 - $22 an hour
- Full-time
- Local
- English
- Mid-level
- Paid time off
- Employee discount
Quick Apply
Dental Office Manager / Treatment Coordinator
Tyler Dental Care —El Monte, CA
- From $26.70 an hour
- Part-time
- Dental office
- Management
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Part-Time After Sales Service Coordinator
ALKCOOL Manufacturing Corp —Ontario, CA
- $20 - $21 an hour
- Temporary
- Hybrid work
- Spanish
- Google Workspace
- English
- Flexible schedule
Quick Apply
6d
Personal Service Coordinator
Clarvida —Orange, CA
- Full-time
- Customer service
- HIPAA
- Mid-level
- Mileage reimbursement
- Paid holidays
Quick Apply
Lead Claims Compliance Coordinator
Choice Physicians Network Inc —San Bernardino, CA
- $68,000 - $88,400 a year
- Full-time
- Hybrid work
- Analysis skills
- Neurology
- Senior level
Quick Apply
Workers' Compensation Referral Coordinator
Carbon Health Technologies Inc —Rancho Cucamonga, CA
- Full-time
- Spanish
- Google Workspace
- English
- Health savings account
- Disability insurance
Quick Apply
Dental Treatment Coordinator
Finesse —Rancho Cucamonga, CA
- $20 - $40 an hour
- Full-time
- Dental office
- High school diploma or GED
- Organizational skills
- Paid time off
- Opportunities for advancement
Quick Apply
Compliance Coordinator
LSMA Management Inc —San Bernardino, CA
- $28.85 - $33.65 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- Office
Claims Coordinator
ServiceMaster Restore 9430 - Riverside —Riverside, CA
- $18 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
HR Coordinator
SLM Group —Ontario, CA
- $28 - $30 an hour
- Urgently hiring
- Microsoft Outlook
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Office Experience Coordinator
Zak Dental Corp —Covina, CA
- From $20 an hour
- Full-time
- Dental office
- Sales
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Dental Receptionist/Treatment Coordinator
Sahara Dental —Pomona, CA
- $20 - $24 an hour
- Dental office
- Inventory management
- Administrative experience
- Disability insurance
- Health insurance
Quick Apply
Service Coordinator
Ingersoll Rand —City of Industry, CA
- $55,000 - $75,000 a year
- Overtime
- Mid-level
- High school diploma or GED
- Associate's degree
- Health insurance
- Dental insurance
5d

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Grievance and Appeals Coordinator

JM Temporary Services and Affiliates
Rancho Cucamonga, CA

Quick Apply

Job Details

Contract
$21.00 - $23.98 an hour

Qualifications

Spanish
Customer communication
Microsoft Excel
English
Administrative experience
High school diploma or GED
Typing
Productivity software
Quality data entry
Office experience

Full Job Description

Grievance and Appeals Coordinator
Bilingual (English/Spanish)
Must be able to speak and write Spanish and English

Telecommute/Rancho Cucamonga, California (must live in the nearby area)
6 month contract
$21.00-$23.98/hourly

Key responsibilities:
1. Maintain working knowledge of regulatory guidelines surrounding Grievances per CMS, DHCS, and DMHC.
2. Understand Member and Provider legal rights to access the Grievance and Appeals Resolution Process, within the respective Provider Organization and IEHP.
3. Ensure compliance with the IEHP Grievance and Appeals Resolution Process, in accordance with all Health Plan regulatory agencies.
4. Responsible for providing administrative support to ensure grievance and appeal cases are processed per regulatory guideline and internal department protocol including:
a. Coordinate, document and track all IEHP Member and Provider grievances and appeals.
b. Generates written correspondence to Providers, Members, and regulatory entities using appropriate grammar and punctuation.
c. Ensure all appropriate grievance and appeal letters are sent out within regulatory compliance guidelines.
d. Assist IEHP personnel in filing, tracking, and closing Member and Provider grievances.
5. When designated to intake cases, the Grievance and Appeals Coordinator will ensure the following:
a. Assign new cases as received for medical urgency and assign to appropriate Grievance Team Member for investigation and resolution.
b. Alert assigned Team Member to any immediate needs, provide guidance regarding depth of investigation, best investigative approach, and manner of documentation, such as close oral case as a “1-day” (no written notification required), obtain verbal or written response from provider as indicated, or resolve internally with no provider input required.
6. Act as a liaison between IEHP departments to coordinate information and close grievances and appeals within regulatory timelines.
7. Keep the Grievance and Appeals Supervisor aware of “open” & “pending” grievance/appeal issues and expected resolution measures.
8. Maintain and prepare grievance and appeals summary reports, as needed.
9. Assist IEHP management in the assessment of grievance and appeal information for the potential change to IEHP policies and procedures.
10. Responsible for working with Team Members to support the protocols and goals of the department and the vision of the organization.
11. Demonstrate a commitment to incorporate LEAN principles into daily work.
12. Speak to health plan members as needed to clarify or obtain any information necessary in order to process a Grievance or an Appeal appropriately.
13. Speak to health plan members as needed to answer any questions regarding their case.

Requirements:

Three or more (3+) years of administrative experience in an office environment, including use of Microsoft Office Suite. Demonstrated superior interpersonal and administrative skills commensurate with years of experience.
High school diploma or GED required.

Key Qualifications

Excellent communication and interpersonal skills.
Strong organizational skills, typing 45 words per minute, proficient in Microsoft Word and Excel, and data entry experience are essential.
Telephone courtesy. Ability to handle multiple tasks.
Strong attention to detail and ability to prioritize work to ensure adherence to task deadlines.
Ability to learn and follow standards and procedures.
Positive Attitude and ability to work in a team setting.

Understanding of and sensitivity to multi-cultural community

Must be Bilingual (Enghlish/Spanish)
Apply online at: jmstaffing.com

Quick Apply

Refine Your Search

claims coordinator jobs in upland ca

Grievance and Appeals Coordinator

Claims Coordinator

Benefits Coordinator

Claims Coordinator

Claims Letter Correspondence Coordinator

Insurance/Financial Coordinator(Dental exp is a must!)

Environmental Health and Safety Coordinator (EHS)

Logistics Coordinator

Dental Office Manager / Treatment Coordinator

Part-Time After Sales Service Coordinator

Personal Service Coordinator

Lead Claims Compliance Coordinator

Workers' Compensation Referral Coordinator

Dental Treatment Coordinator

Compliance Coordinator

Claims Coordinator

HR Coordinator

Office Experience Coordinator

Dental Receptionist/Treatment Coordinator

Service Coordinator

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