- UpvoteDownvoteShare Job
- Suggest Revision
The Grievance/Appeals Representative I is responsible for reviewing, analyzing and processing claims in accordance with policies and claims events to determine the extent of the company's liability and entitlement.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The ideal candidate will be well versed in the Medicare managed care appeals and grievance process. The ideal candidate will be well versed in the Medicare managed care appeals and grievance process.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Address any grievance/complaint received from patient. Florry Creative Care Corporation has over 25 year of combined experience in providing medical services and case management to ensure that the patient in linked to all resources that best fit their needs provide in home care for the elderly and disabled.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Performs personnel management activities to include: recommending employment, dismissal, promotion or transfer of employees; recommending salary increases and training; approving leave requests; serving as respondent in the grievance procedures; and, developing a safety program for division employees.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
This position expected to provide excellent customer service to all incoming/outgoing callers and answer and document inquiries related to dental benefits , eligibility, provider information, claims, pre-estimates/pre-authorizations, grievance and appeals, fulfillment requests and other miscellaneous inquiries.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Utilizes expertise in conflict resolution and grievance handling to effectively address and resolve patient complaints associated with the disability claims process, consistently demonstrating empathy, professionalism, and a solution-oriented mindset.
ExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Carefully monitors status of review and resolution of all stated concerns and ensures full compliance with all federal and state regulations related to the patient complaint and grievance process.
ExpandUpdated 13 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Inspects plant machinery and equipment which may require climbing ladders, stairs and catwalks, exposure to large machinery and confined spaces; inspects ongoing activities for safety and environmental compliance and for adherence to standard operating procedures.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Locally administer and interpret Master National Agreement (MNA); administer MNA grievance procedures. Locally administer and interpret Master National Agreement (MNA); administer MNA grievance procedures.
$78,000 - $90,000 a yearFull-timeExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Properly handle complaints and grievance procedures. Proven experience as an HR Assistant or relevant human resources/administrative position. HR Assistant performs a wide range of human resources functions.
ExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Responsible for ensuring sites comply with Union Collective Bargaining Agreements (CBA) and participate in any grievance or arbitration activities as well as any CBA renegotiations. Incumbent must be eligible for DoD Personal Security Clearance.
ExpandUpdated 11 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Makes medical necessity determinations for grievance and appeals appropriate for their specialty. Makes medical necessity determinations for grievance and appeals appropriate for their specialty.
ExpandUpdated 8 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Extensive knowledge of: operation, maintenance and control of steam generating power plants and the legal requirements for their operation; federal, state and municipal rules, regulations and ordinances pertaining to waste to energy plant operations; management principles, practices and techniques, and methods of organization and management of energy plants.
ExpandUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates.
RemoteExpandUpdated 12 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target system. Processes claim referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target system.
$17 - $25.15 a yearFull-timeExpandUpdated 12 days ago
grievance job in Tampa, FL
FEATURED BLOG POSTS
How to Professionally Reschedule a Job Interview Without Destroying Your Chances
You’ve practiced answering common interview questions and refined your “greatest weakness.’ Nothing can stop you until BAM! The flu hits your household. Or you ran over a nail and popped a tire en route to the interview. When you need to pivot, there’s a good, better, and best way to reschedule a job interview. Here’s how to do it professionally, so you can nail the gig when the timing is right.
What is a W-9 and How to Fill One Out
When you began working for yourself, you probably didn’t account for the tax reporting work that will fall on your shoulders each year. If you’re a freelancer, independent contractor, or business owner, filing your taxes is not as simple as uploading your W-2 form into some online tax preparation software. Most self-employed people need to complete a W-9 as a step for accurately reporting their earnings to the IRS. Below, you can learn how to fill out a W-9 and when to submit it.
Tightening the HR budget in 2023
With the state of the economy still uncertain, 2023 is expected to be approached with much anticipation. Human Resource leaders have many concerns, including how they will manage to accomplish their goals with budget belts already getting snug. Let’s look at some of the factors that the new year is projected to bring for HR and how to prioritize budgets to reach human capital objectives.
A Comprehensive Guide to Becoming a Better Conversationalist
Have you ever stood awkwardly next to someone at a party because you didn’t know what to say to them? How about at a networking event or on a first date? You're not alone if you’ve ever experienced this uncomfortable silence. Many people struggle to master the art of being a great conversationalist.
Why is Non-Verbal Communication Really Important?
In a world where words and phrases rule daily communication, you may wonder why non-verbal communication is important. Whether you realize it or not, you communicate more with nonverbal actions than you do with verbal communication. When you interact with your peers, people are reading your body language, facial expressions, voice, and many other factors that help fill in blanks that words can't fill.
Making Hybrid Work More Efficient
Covid was a catalyst for change in the work environment. Keeping people safe and helathy was the initial goal for employers, but the unintended result was the considerable demand in remote work. Now, onsite work has been dramatically altered to remote work, which is now transforming into a combination of the two: hybrid work.
How Can HR Technology Help Retain Employees?
Human resources' rapid adoption of technology has led to new ways of streamlining human capital management. Based on the IEE Global Study, these technologies changed how HR handled recruitment and retention in 2022. This includes tech like