Talent.com
North Carolina Grievance Coordinator

North Carolina Grievance Coordinator

VirtualVocationsPortsmouth, Virginia, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Grievance & Appeals Coordinator I.

Key Responsibilities

Analyze and resolve claims and authorization appeals from providers and formal grievances from members

Prepare response letters for member and provider complaints, grievances, and appeals

Maintain files on individual appeals and grievances and support related data entry and research functions

Required Qualifications

High school diploma or equivalent; associate's degree preferred

2+ years of healthcare grievance or appeals, claims, or managed care experience

Experience in managing large volumes of documents

Ability to support pay-for-performance programs

Familiarity with HEDIS production functions is a plus

serp_jobs.job_alerts.create_a_job

Carolina Carolina • Portsmouth, Virginia, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
California Licensed Grievance Manager

California Licensed Grievance Manager

VirtualVocationsChesapeake, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Manager, Grievance & Appeals.Key Responsibilities Manage member complaints and ensure compliance with regulatory requirements Monitor and report on trends in appeals a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Financial Intake Coordinator

Financial Intake Coordinator

VirtualVocationsChesapeake, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Financial Intake Coordinator II.Key Responsibilities Manages the authorization process and provides support for multiple payers Answers phones and routes calls appropr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Texas Licensed Care Coordinator

Texas Licensed Care Coordinator

VirtualVocationsNorfolk, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Call Center Care Coordinator to join their team in a remote position supporting the Gulf Region. Key Responsibilities Ensure a positive experience for patients by focusi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Title Coordinator

Title Coordinator

VirtualVocationsNewport News, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Title Coordinator (Remote).Key Responsibilities Coordinate the resolution and completion of the title process, managing workflow from searchers and contractors Review ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Referral Coordinator

Patient Referral Coordinator

VirtualVocationsNewport News, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Referral Coordinator.Key Responsibilities : Provide a list of appropriate physicians based on members' clinical conditions and preferences Complete prior author...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Revenue Cycle Representative

Revenue Cycle Representative

VirtualVocationsPortsmouth, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Revenue Cycle Representative, Reconsiderations - RCM.Key Responsibilities Coordinate provider invoice activities to ensure timely reimbursement of receivables Research...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Staffing Coordinator

Staffing Coordinator

VirtualVocationsNorfolk, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Service Staffing Coordinator to manage supplemental staffing for physicians.Key Responsibilities : Manage weekend and holiday supplemental staffing for physicians, ensur...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Recruiting Coordinator

Recruiting Coordinator

VirtualVocationsNewport News, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Recruiting Coordinator.Key Responsibilities Manage interview scheduling, candidate communications, and maintain the Applicant Tracking System (ATS) Coordinate intervie...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Bilingual Care Ambassador

Bilingual Care Ambassador

VirtualVocationsPortsmouth, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Bilingual Care Ambassador.Key Responsibilities Contact Medicare patients to explain program benefits and encourage enrollment Document all patient interactions accurat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Customer Acquisition Coordinator

Customer Acquisition Coordinator

VirtualVocationsChesapeake, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Customer Acquisition Coordinator (Remote).Key Responsibilities Engage potential business clients through strategic outbound outreach to generate qualified leads Suppor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
New York Licensed Utilization Coordinator

New York Licensed Utilization Coordinator

VirtualVocationsNewport News, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Coordinator - Compliance.Key Responsibilities Review and analyze member cases for medical necessity and appropriateness of treatment authorizatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Georgia Licensed Patient Contact Supervisor

Georgia Licensed Patient Contact Supervisor

VirtualVocationsVirginia Beach, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Contact Center Supervisor.Key Responsibilities Oversee daily operations of the Patient Contact Center team, providing guidance and training Monitor performance...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Insurance Verification Coordinator

Insurance Verification Coordinator

VirtualVocationsPortsmouth, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Lead Intake & Insurance Verification Coordinator.Key Responsibilities Obtain and verify complete insurance information and manage prior authorization processes Serve a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Scheduling Coordinator

Scheduling Coordinator

VirtualVocationsNorfolk, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Scheduling Coordinator to facilitate the scheduling of loan modification signings.Key Responsibilities Complete scheduling, re-scheduling, and cancellation requests for...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Clinical Support Coordinator

Clinical Support Coordinator

VirtualVocationsNorfolk, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Support Coordinator for a full-time, remote position on the 2nd shift.Key Responsibilities Manage requests from client hospitals and physicians to ensure excel...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Credentialing Operations Coordinator

Credentialing Operations Coordinator

VirtualVocationsNorfolk, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Practice Operations Coordinator focused on credentialing.Key Responsibilities Prepare and maintain provider enrollment applications and track credentialing timelines S...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Revenue Success Coordinator

Revenue Success Coordinator

VirtualVocationsPortsmouth, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Revenue Success Coordinator to provide operational and administrative support to the Enterprise team. Key Responsibilities Manage billing and account support, including ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
New Jersey Licensed Program Coordinator

New Jersey Licensed Program Coordinator

VirtualVocationsNorfolk, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Program Coordinator for the 988 Lifeline Services.Key Responsibilities Plans, trains, and supervises staff engaged in program-specific services Ensures compliance with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Specialty Infusion Account Coordinator

Specialty Infusion Account Coordinator

VirtualVocationsChesapeake, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Specialty Infusion Account Coordinator, fully remote.Key Responsibilities Coordinate multiple facets of patient accounts including insurance / benefit verification and de...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Virtual Patient Coordinator

Virtual Patient Coordinator

VirtualVocationsChesapeake, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Virtual Patient Coordinator.Key Responsibilities Answer all incoming calls, emails, and live chats Register new patients in the electronic medical record and schedule ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days