- Elevance Health (Mendota Heights, MN)
- **Grievance & Appeals Coordinator ** **Location:** This position will work remotely. The ideal candidate will live within 50 miles of an Elevance pulse point, in ... advancement of care for the people we serve. The **Grievance & Appeals Coordinator ** is responsible for investigating and reviewing customer grievances and … more
- CVS Health (St. Paul, MN)
- …from multiple business units. Ensure timely, customer focused response to complaints/ appeals . Identify trends and emerging issues and report and recommend solutions. ... This position can be anywhere in the United States. **Required Qualifications** 1 year experience that includes both HMO and Traditional claim platforms, products, and benefits, patient management, product, compliance and regulatory analysis, special… more
- Cardinal Health (St. Paul, MN)
- …documenting patient health insurance benefit investigations, prior authorizations, and appeals , preferred + Knowledge of Medicare, Medicaid and Commercially insured ... payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of Medical/Pharmacy billing and coding is preferred + Important to… more
- Cardinal Health (St. Paul, MN)
- …Events and follow process for timely submission. Review all requests for appeals and ensure supporting documentation is present. Support team with call overflow ... when needed. Ability to mediate situations in which parties are in disagreement and facilitate a positive outcome. Effectively be able to multitask daily tasks and workload. + **TRAINING AND WORK SCHEDULES** : Your new hire training will take place… more