Job Seekers, Welcome to IFDHE Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Search Results: 5138 Jobs
Save Agent
Loading... Please wait.
Cincinnati Children's Hospital Medical Center Logo
Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio

NEW! NEW!
NEW! NEW!
Geisinger Logo
Geisinger

Danville, Pennsylvania

NEW! NEW!
Geisinger Logo
Geisinger

Lewistown, Pennsylvania

NEW! NEW!
Geisinger Logo
Geisinger

Scranton, Pennsylvania

NEW! NEW!
Geisinger Logo
Geisinger

Wilkes-Barre, Pennsylvania

NEW! NEW!
Geisinger Logo
Geisinger

Wilkes-Barre, Pennsylvania

NEW! NEW!
NEW! NEW!
Vanderbilt Health Logo
Vanderbilt Health

Nashville, Tennessee

NEW! NEW!
NEW! NEW!
Geisinger Logo
Geisinger

Danville, Pennsylvania

NEW! NEW!
Penn State Health Logo
Penn State Health

Hershey, Pennsylvania

NEW! NEW!
Geisinger Logo
Geisinger

Wilkes-Barre, Pennsylvania

NEW! NEW!
Geisinger Logo
Geisinger

Scranton, Pennsylvania

NEW! NEW!
NEW! NEW!
Geisinger Logo
Geisinger

Wilkes-Barre, Pennsylvania

NEW! NEW!
Geisinger Logo
Geisinger

Wilkes-Barre, Pennsylvania

NEW! NEW!
Geisinger Logo
Geisinger

Wilkes-Barre, Pennsylvania

NEW! NEW!
NEW! NEW!
NEW! NEW!
Loading... Please wait.
Appeals Coordinator - Bilingual English/Spanish (Pennsylvania Southeast/Northwest regions)
Job SummaryProvides support in administration of the Appeals and Grievance process. Serves as a liaison between Members and the Plan with appeals regarding denied claims/services, referrals, membership and benefit issues and concerns regarding quality of care or service. PresentsMember appeals to the Plan Medical Staff and Center for Medicare/Medicaid Services contracted reviewer.Job DutiesPrepares and facilitates Member appeals, complaints and grievances by communicating directly with Members, their Representatives, Vendors and Medical Providers and their Representatives to obtain the necessary information to complete the appeal process successfully within the time period allowed by regulation.Investigates the full details of the appeal and complaint


This job listing is no longer active.

Check the left side of the screen for similar opportunities.
Loading. Please wait.