- Molina Healthcare (Houston, TX)
- …+ Responsible for the comprehensive research and resolution of the appeals , dispute, grievances , and/or complaints from Molina members, providers ... that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. +… more
- Elevance Health (Houston, TX)
- …& Appeals Coordinator** is responsible for investigating and reviewing customer grievances and appeals regarding provision of service and benefit coverage ... issues. Triages clinical and non-clinical inquiries, grievances and appeals , prepares case files for...+ Summarizes and presents essential information for the clinical specialist or medical/dental director and legal counsel. + Responds… more