Appeal And Grievance Intake Coordinator Job at Blue Cross Blue Shield of Arizona (Phoenix)

Appeal & Grievance Intake Coordinator

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 years of experience in a Medicare Advantage (Part C) and Prescription Drug Benefit (Part D) insurance plan and/or other managed care organization
High school diploma or GED in general field of study
Math, communications and business skills normally demonstrated by a high school degree or equivalent
Intermediate PC user, including Microsoft Word, Excel, Outlook, Power Point, and Adobe Acrobat Pro
Intermediate skill using office equipment, including copiers, fax machines, scanners and telephones
Maintain confidentiality and privacy as outlined by HIPAA
Strong critical thinking skills
Must possess highly developed interpersonal skills and communications skills, with a strong customer service orientation, and practice interpersonal and active listening skills to achieve customer satisfaction
Compose a variety of business correspondence
Interpret and translate policies, procedures, programs and guidelines

Job Responsibility

Performs triage (intake, classification, case file setup and assignment) of Medicare Part C and D grievances and appeals
provides administrative, clerical, and other related support to the Grievance and Appeals (G&A) staff
establishes, maintains, and monitors grievance and appeal workload tracking and workflow processes
assists with maintaining regulatory compliance, timeliness requirements and ensuring accuracy standards are met
completes day-to-day operational tasks assigned according to defined processes and procedures
prepares G&A case file folders and assists with tracking and maintaining G&A case records and files
and assists with collecting and reporting G&A related performance and regulatory data

Fulltime

Benefits Coordinator

We are looking for a Benefits Coordinator to support employee accommodation and ...

Location

United States , Little Falls

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience supporting benefits, leave administration, or employee accommodation processes in a structured setting
Working knowledge of FMLA and related leave management practices, including documentation and case tracking
Background in benefits coordination, compensation and benefits, or other human resources functions tied to employee support
Ability to interpret medical or educational records and apply policies to determine appropriate next steps
Strong communication and interpersonal skills with the ability to handle sensitive matters with discretion and empathy
Proven organizational skills with attention to detail, accuracy, and confidentiality in documentation management
Ability to collaborate effectively with multiple departments while balancing compliance requirements and employee needs

Job Responsibility

Guide employees through accommodation and leave request processes by explaining options, collecting required information, and coordinating timely follow-up
Conduct interactive discussions with employees to assess workplace, physical, academic, or technology-related accommodation needs and identify appropriate solutions
Review medical and educational documentation to evaluate eligibility and support informed accommodation determinations
Manage leave cases from intake through resolution, including recordkeeping, status tracking, correspondence, and coordination with departments in accordance with applicable regulations and university guidelines
Provide hands-on assistance to employees with disabilities by addressing concerns, resolving accommodation issues, and connecting individuals with relevant campus or community resources
Administer grievance and appeal matters related to accommodations or leave by helping ensure concerns are reviewed, investigated, and brought to resolution appropriately
Partner with academic and administrative teams to advance accessibility efforts and reinforce a compliant, inclusive workplace culture across the university
Contribute to the refinement of procedures, compliance reviews, and planning initiatives that strengthen equitable access and employee support programs
Maintain detailed and confidential documentation related to employee communications, accommodation requests, leave activity, and case outcomes
Monitor developments in accessibility practices and leave administration to recommend effective approaches and support continuous improvement

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Benefits Coordinator

We are looking for a Benefits Coordinator to support employee accommodation and ...

Location

United States , Little Falls

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience supporting benefits, leave administration, or employee accommodation processes in a structured setting
Working knowledge of FMLA and related leave management practices, including documentation and case tracking
Background in benefits coordination, compensation and benefits, or other human resources functions tied to employee support
Ability to interpret medical or educational records and apply policies to determine appropriate next steps
Strong communication and interpersonal skills with the ability to handle sensitive matters with discretion and empathy
Proven organizational skills with attention to detail, accuracy, and confidentiality in documentation management
Ability to collaborate effectively with multiple departments while balancing compliance requirements and employee needs

Job Responsibility

Guide employees through accommodation and leave request processes by explaining options, collecting required information, and coordinating timely follow-up
Conduct interactive discussions with employees to assess workplace, physical, academic, or technology-related accommodation needs and identify appropriate solutions
Review medical and educational documentation to evaluate eligibility and support informed accommodation determinations
Manage leave cases from intake through resolution, including recordkeeping, status tracking, correspondence, and coordination with departments in accordance with applicable regulations and university guidelines
Provide hands-on assistance to employees with disabilities by addressing concerns, resolving accommodation issues, and connecting individuals with relevant campus or community resources
Administer grievance and appeal matters related to accommodations or leave by helping ensure concerns are reviewed, investigated, and brought to resolution appropriately
Partner with academic and administrative teams to advance accessibility efforts and reinforce a compliant, inclusive workplace culture across the university
Contribute to the refinement of procedures, compliance reviews, and planning initiatives that strengthen equitable access and employee support programs
Maintain detailed and confidential documentation related to employee communications, accommodation requests, leave activity, and case outcomes
Monitor developments in accessibility practices and leave administration to recommend effective approaches and support continuous improvement

What we offer

medical, vision, dental, and life and disability insurance
company 401(k) plan

Manager, Appeals and Grievances

The Manager, Appeals & Grievances is responsible for leading, operating, and adv...

Location

United States , New York; Lake Mary

Salary:

103400.00 - 149430.00 USD / Year

Healthfirst

Expiration Date

Until further notice

Requirements

Bachelor's degree from an accredited institution or equivalent work experience
Experience with appeals and grievance processing and compliance
Experience building and managing a team and leading work processes in a fast-paced environment
Experience preparing and delivering written and verbal information to multiple types of audiences
Demonstrated ability to work well with others, understand process flows and correlating platforms, recommend options and implement solutions
Experience setting direction for department and managing staff performance
Experience managing multiple concurrent priorities
Proven ability to work across areas in an organization to yield results

Job Responsibility

Ensure management team is accurately monitoring performance through daily meetings, coaching, feedback, documentation and disciplinary actions in collaboration with the Intake Vendor
Help Standardize and Optimize in how Appeals and Grievances are routed
Work with Providers and DSE on educating providers in how to submit Appeals timely and accurately
Assist in leading the AOR / WOL Outreach team in coordination with the supervisor
Identify trends and recommend solutions for improvement
Determine best practices and strategically deploy approaches to meet production, compliance and quality targets and to perform all Appeals & Grievances tasks
Manage, develop and engage team. Work with leadership to establish and implement departmental goals, establish monthly goal review process and implement a plan of action for identified gaps
Maintain delegated vendor relationship and ensure vendor performance and compliance measures are met
Institute and manage working relationships within various operational areas to identify and execute overall process improvements
Build partnerships with business areas across and outside of operations to improve communication and responsiveness to multiple conflicting resource demands

What we offer

medical, dental and vision coverage
incentive and recognition programs
life insurance
401k contributions

Fulltime

New

Ks2 Supply Teacher

We are seeking a qualified KS2 Supply Teacher with a PGCE/QTS qualification to j...

Location

United Kingdom , Godstone

Salary:

125.00 GBP / Day

Randstad

Expiration Date

July 09, 2026

Requirements

PGCE/QTS qualification
An enhanced DBS on the update service (or willingness to obtain one)
Strong knowledge of the primary curriculum
Passion for working with KS2 children
Commitment to safeguarding all children

What we offer

Refer a friend and earn £300 in our referral scheme
Work with one dedicated consultant
Weekly Pay

Parttime

New

Waitstaff

Set and clear tables, take residents’ dining orders, and provide the highest lev...

Location

United States , Bettendorf

Salary:

12.00 - 14.40 USD / Hour

Atria Senior Living

Expiration Date

Until further notice

Requirements

Basic reading, writing, and math skills
Effective verbal and written English skills
General knowledge of sanitation and safe food handling practices
No experience needed

Job Responsibility

Set and clear tables, take residents’ dining orders, and provide the highest level of customer service
Review menus with residents and acquaint new residents with dining at Atria
Assist with the preparation, delivery, and cleanup of daily meals, banquets, and special events
Create a strong sense of teamwork with your colleagues and positive relationships with residents
Clean and sanitize carpet, tables, chairs, condiment containers, and equipment used in the dining room

What we offer

Competitive Pay
Paid Holidays & PTO
Comprehensive Health Plans
Career Advancement Opportunities
Tuition Reimbursement
Employee Loyalty Rewards Program
Retirement Savings Plan with Employer Match
Rewards & Recognition
Health & Safety

Parttime

New

Scientist 2- Spatial Biology and Biophysics

We are looking for an exceptional, multidisciplinary scientist to drive new rese...

Location

United States , Pleasanton

Salary:

139700.00 - 188900.00 USD / Year

10x Genomics

Expiration Date

Until further notice

Requirements

PhD in Molecular Biology, Biophysics, Physical Chemistry or related field
3+ years of relevant experience in situ hybridization, imaging and spatial techniques, preferably in the Biotechnology industry
Proven ability to design novel molecular biology assay schemes, as evidenced by peer-reviewed publications or published patents
Strong analytical background
Strong organizational skills
Strong written and oral communication skills
Strong troubleshooting and problem solving skills
Ability to work in a fast-paced and quickly changing environment
Desire to build game-changing technologies and impact the world of life science research

Job Responsibility

Contribute molecular biology and biophysics expertise and leadership to cross-disciplinary product development teams to ensure project milestones and technological specifications are met
Design and execute experiments using novel imaging and biochemistry platforms integral to various spatial technology platforms under development at 10x Genomics. This includes in-depth analysis and reporting of your data through documentation and presentations to internal groups
Work closely with computational biologists and optical engineers to interpret data generated by novel optical and biochemical assays
Develop demonstrated and robust protocols that will be used internally across various teams during product development

What we offer

Equity grants
Comprehensive health and retirement benefit programs
Annual bonus program or sales incentive program
Health Package
Easy-to-use Benefits
Family oriented
Generous Time Off
Award-Winning Workplace

Fulltime

New

Medical Receptionist

We are seeking a professional and compassionate Medical Receptionist to serve as...

Location

United States , Syracuse

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

1+ year of medical front desk or healthcare administrative experience preferred
Knowledge of medical terminology and office procedures
Familiarity with EMR/EHR systems (e.g., Epic, Cerner, eClinicalWorks)
Strong communication and interpersonal skills
Excellent organizational skills and attention to detail
Ability to multitask and manage a high-volume patient environment

Job Responsibility

Greet patients and visitors in a friendly and professional manner
Answer and direct phone calls, respond to inquiries, and take messages
Schedule, confirm, and manage patient appointments
Verify patient information, insurance, and demographics
Collect co-pays and process payments
Maintain and update electronic medical records (EMR systems)
Handle patient check-in and check-out procedures
Ensure confidentiality of patient information in compliance with HIPAA regulations
Coordinate with clinical staff to support patient flow and office efficiency

What we offer

medical insurance
vision insurance
dental insurance
life insurance
disability insurance
401(k) plan

Fulltime

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Appeal And Grievance Intake Coordinator

Job Description

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