Appeals and Grievance Specialist RN

Q228,618 (GTQ)/yr

Q109.91 (GTQ)/hr

Q4,001 (GTQ)/yr

The average appeals and grievance specialist rn gross salary in Guatemala is Q228,618 or an equivalent hourly rate of Q110. In addition, they earn an average bonus of Q4,001. Salary estimates based on salary survey data collected directly from employers and anonymous employees in Guatemala. An entry level appeals and grievance specialist rn (1-3 years of experience) earns an average salary of Q162,265. On the other end, a senior level appeals and grievance specialist rn (8+ years of experience) earns an average salary of Q289,049.

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ERI’s compensation data are based on salary surveys conducted and researched by ERI. Cost of labor data in the Assessor Series are based on actual housing sales data from commercially available sources, plus rental rates, gasoline prices, consumables, medical care premium costs, property taxes, effective income tax rates, etc.

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Q235,911 (GTQ)

3 %

Based on our compensation data, the estimated salary potential for Appeals and Grievance Specialist RN will increase 3 % over 5 years.

This chart displays the highest level of education for:
Appeals and Grievance Specialist RN, the majority at 100% with bachelors.

Typical Field of Study: Nursing/Registered Nurse (RN, ASN, BSN, MSN)

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Guatemala

Cost of living is calculated based on accumulating the cost of food, transportation, health services, rent, utilities, taxes, and miscellaneous.

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Guatemala, officially the Republic of Guatemala, is a country in Central America. It is bordered to the north and west by Mexico, to the northeast by Belize, to the east by Honduras, and to the southeast by El Salvador. It is hydrologically bordered to the south by the Pacific Ocean and to the northeast by the Gulf of Honduras. The territory of modern Guatemala hosted the core of the Maya civilization, which extended across Mesoamerica; in the 16th century, most of this was conquered by the Spanish...

Sourced from Wikipedia
Evaluates and resolves clinical appeals, grievances, and external reviews received from members or providers, including review of pre-service and post-service appeals, utilizing understanding of clinical department operations and claims processing procedures. Communicates and interacts with external partners, including providers, medical groups, Independent Practice Associations, and other external vendors. Reviews medical records related to grievances and appeals, provides monitoring of cases... involving medical decisions and quality or care or service, and prepares and performs clinical reviews. Logs grievances and appeals; obtains medical records as needed; and provides clinical reviews, write-ups, and recommendations. Develops correspondence communicating acknowledgement and resolution to enrollees and providers, following appeal time frames. Requires RN license. Read More

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Disclaimer

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Professionals should subscribe to SalaryExpert’s Assessor Platform.

ERI’s compensation data are based on salary surveys conducted and researched by ERI. Cost of labor data in the Assessor Series are based on actual housing sales data from commercially available sources, plus rental rates, gasoline prices, consumables, medical care premium costs, property taxes, effective income tax rates, etc.

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