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Last updated: November 10, 2024
Medical Grievance and Appeals Nurse Salary
in Hoffman Estates, Illinois
This page is an excerpt of the much more complete compensation information available in ERI's Assessor Series.
$99,451 (USD)
Average Salary
$48/hr
Average Hourly
$1,740
Average Bonus
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Last updated: November 10, 2024
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Salary Recap
The average pay for a Medical Grievance and Appeals Nurse is $99,451 a year and $48 an hour in Hoffman Estates, Illinois, United States. The average salary range for a Medical Grievance and Appeals Nurse is between $68,223 and $121,529. On average, a Bachelor's Degree is the highest level of education for a Medical Grievance and Appeals Nurse. This compensation analysis is based on salary survey data collected directly from employers and anonymous employees in Hoffman Estates, Illinois.
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.
Find actuarial salary survey data and benchmark salary and pay.
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Salary Potential
Salary Potential
Estimated salary in 2029:
$111,709
5 Year Change:
12 %
Shift Differentials
Shift Differentials
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About Hoffman Estates, Illinois
Hoffman Estates Cost of Living Score:
Description:
Hoffman Estates is a village in Cook County, Illinois, United States. It is a suburb of Chicago. Per the 2020 census, the population was 52,530.
The village now serves as the headquarters for Sears and one of the American headquarters for Mori Seiki. Now Arena, home of the Windy City Bulls of the NBA G League is part of the village. Between 2006 and 2009, the village hosted the Heartland International Tattoo, one of the largest music and dance festivals of its kind in the Midwest.
Job Summary
Description:
- 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.
Medical Grievance and Appeals Nurse Job Listings for
No listings found
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Salary Recap
The average pay for a Medical Grievance and Appeals Nurse is $99,451 a year and $48 an hour in Hoffman Estates, Illinois, United States. The average salary range for a Medical Grievance and Appeals Nurse is between $68,223 and $121,529. On average, a Bachelor's Degree is the highest level of education for a Medical Grievance and Appeals Nurse. This compensation analysis is based on salary survey data collected directly from employers and anonymous employees in Hoffman Estates, Illinois.
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.
Find actuarial salary survey data and benchmark salary and pay.
Powered by ERI's Database
Who We Are
ERI Economic Research Institute compiles the best salary, cost-of-living, and executive compensation survey data available.
View our ProductsJob Statistics
Medical Grievance and Appeals Nurse Job Prevalence in the United States
Job family: Registered Nurses
Job family population: 3,175,390
Estimated population of Medical Grievance and Appeals Nurse jobs: 24,451
Rate of error: 0.5%
Take the guess work out of setting pay
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About Hoffman Estates, Illinois
Hoffman Estates Cost of Living Score:
Description:
Hoffman Estates is a village in Cook County, Illinois, United States. It is a suburb of Chicago. Per the 2020 census, the population was 52,530.
The village now serves as the headquarters for Sears and one of the American headquarters for Mori Seiki. Now Arena, home of the Windy City Bulls of the NBA G League is part of the village. Between 2006 and 2009, the village hosted the Heartland International Tattoo, one of the largest music and dance festivals of its kind in the Midwest.
Job Summary
Description:
- 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.
Medical Grievance and Appeals Nurse Job Listings for
No listings found
Who We Are
ERI Economic Research Institute compiles the best salary, cost-of-living, and executive compensation survey data available.
View our ProductsTake the guess work out of setting pay
Determine competitive salary levels, compare employee compensation with market benchmarks, and get instant access to reliable salary survey data online.
You May Also Like
White Papers
National Compensation Forecast October 2024
ERI examines compensation trends and changes for the upcoming year to provide guidance on the expected salary increase for the upcoming year.
Read More
Remote Work, AI, and Compensation Best Practices Survey Results - Spring 2024
Learn how remote work and artificial intelligence changes how organizations approach labor and compensation practices.
Read More
Planning Global Compensation Budgets for 2025
Learn about current global salary trends and salary increases in 2024 to strategically inform your financial planning decision for the upcoming year.
Read More