Talent.com
North Carolina Grievance Coordinator

North Carolina Grievance Coordinator

VirtualVocationsToms River, New Jersey, 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 • Toms River, New Jersey, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Field Health Benefits Coordinator

Field Health Benefits Coordinator

Conduent State Healthcare, LLCNew Brunswick, NJ, US
serp_jobs.job_card.full_time
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clien...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Special Agent, $40,000 Recruitment Incentive (Hiring Immediately)

Special Agent, $40,000 Recruitment Incentive (Hiring Immediately)

The United States Secret ServiceTrenton, NJ, US
serp_jobs.job_card.full_time
Recruitment Incentive : Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements. Click apply for complete details on the recruitment incentive detail...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Client Service Coordinator - 001945

Client Service Coordinator - 001945

Banfield Pet HospitalManahawkin, NJ, US
serp_jobs.job_card.full_time +1
The Client Service Coordinator ("CSC") drives the flow of clients and pets through the hospital, maximizes the productivity of the veterinary medical team (in terms of numbers of clients and pets),...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Brokerage Operations Coordinator

Brokerage Operations Coordinator

Ryan SpecialtyTrenton, NJ, US
serp_jobs.job_card.full_time
Brokerage Operations Coordinator.The Brokerage Operations Coordinator is responsible for providing operational support to the brokerage team by efficiently handling day-to-day operational tasks.The...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Billing & Patient Collections Coordinator

Billing & Patient Collections Coordinator

Odyssey Behavioral HealthcareLevittown, PA, US
serp_jobs.job_card.full_time
STR Behavioral Health is seeking an experienced Revenue Cycle Coordinator to join our growing team!.This is a hybrid role requiring a minimum of one day. Schedule is M-F regular office hours.STR Beh...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Project Coordinator

Project Coordinator

ArtechNew Brunswick, NJ, US
serp_jobs.job_card.full_time
Duration : 10 Months with possible extension.Smartsheet scheduling experience.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Business Continuity Coordinator

Business Continuity Coordinator

Capital HealthHopewell, NJ, US
serp_jobs.job_card.full_time +1
Business Continuity And Emergency Management Coordinator.Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physici...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Recruiting Coordinator

Recruiting Coordinator

Abacus Service CorporationSomerset, NJ, US
serp_jobs.job_card.full_time
Duration - 6 months opened ended - Shift - M / F Days - Remote with onsite if needed.Must haves - from same industry if possible but open to others main thing is personality, needs to handle fast pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Coordinator

Patient Coordinator

Ivy Rehab NetworkMorrisville, PA, US
serp_jobs.job_card.full_time
Our Patient Coordinators are the backbone of our clinics and have a direct impact on patient experience.They work collaboratively with clinicians and colleagues to provide exceptional patient care ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Special Agent, $40,000 Recruitment Incentive

Special Agent, $40,000 Recruitment Incentive

The United States Secret ServiceBeach Haven, NJ, United States
serp_jobs.job_card.full_time
Recruitment Incentive : Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements. Click apply for complete details on the recruitment incentive detail...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Client Service Coordinator

Client Service Coordinator

Banfield Pet HospitalHolmdel, NJ, US
serp_jobs.job_card.full_time
The Client Service Coordinator ("CSC") drives the flow of clients and pets through the hospital, maximizes the productivity of the veterinary medical team (in terms of numbers of clients and pets),...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Pursuit Coordinator

Pursuit Coordinator

JMTTrenton, NJ, US
serp_jobs.job_card.full_time
Johnson, Mirmiran & Thompson is a dynamic, 100% employee-owned consulting firm of more than 2,400 professionals that provides a full range of multi-disciplined engineering, architecture, informatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Client Account Coordinator

Client Account Coordinator

InizioMorrisville, PA, US
serp_jobs.job_card.full_time
Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses. We are currently looking for a Client Account...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Corporate Services - Project Coordinator

Corporate Services - Project Coordinator

Tech DigitalLawrence Township, NJ, US
serp_jobs.job_card.full_time
Team / Project Coordinator, WW Medical Learning.Location : Princeton Pike, USA 100% on-site.Summary At Client, we are inspired by a single vision transforming patients' lives through science.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Services Coordinator

Patient Services Coordinator

PT SolutionsParlin, NJ, US
serp_jobs.job_card.full_time
Our Patient Services Coordinators (PSCs) support our clinicians as they strive to serve their patients using research-driven treatments to provide relief and restoration of their normal life.As a P...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Community Health Transition Coordinator (Hiring Immediately)

Community Health Transition Coordinator (Hiring Immediately)

BAYADA Home Health CareEast Brunswick, NJ, US
serp_jobs.job_card.full_time
Are you looking for an exciting opportunity in one of the fastest growing areas of healthcare that will allow you to make a difference in people's lives while you grow your career? Were.In this dyn...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Campus Support Coordinator

Campus Support Coordinator

Staffmark GroupNorth Brunswick, NJ, United States
serp_jobs.job_card.full_time
Empowering Education | Enabling Operational Excellence.Join a mission-driven educational institution dedicated to transforming lives through learning. As a Campus Support Coordinator, you'll play a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Senior Proposal Coordinator

Senior Proposal Coordinator

JMTTrenton, NJ, US
serp_jobs.job_card.full_time
Johnson, Mirmiran & Thompson is a dynamic, 100% employee-owned consulting firm of more than 2,400 professionals that provides a full range of multi-disciplined engineering, architecture, informatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Intake Coordinator

Intake Coordinator

Grace Community Care and Homes Inc.Hamilton Township, NJ, US
serp_jobs.job_card.full_time +1
serp_jobs.filters_job_card.quick_apply
The Morning Intake Coordinator is responsible for initiating the daily intake workflow, organizing incoming referrals, tracking documentation, and scheduling client meet-and-greets.This role serves...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Annual Support Associate

Annual Support Associate

Princeton UniversityPrinceton, NJ, US
serp_jobs.job_card.full_time +2
Reporting to the Manager of Individual Giving, the Annual Support Associate is a development administrative professional. The Annual Support Associate will be responsible for all membership gift pro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days