Talent.com
Appeals Coordinator
Appeals CoordinatorDeborah Heart and Lung Center • Browns Mills, NJ, United States
Appeals Coordinator

Appeals Coordinator

Deborah Heart and Lung Center • Browns Mills, NJ, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Job Details

Description

Position Summary :

Responsible for reviewing third-party payment denials, reviewing chart, communicate with physician to collect pertinent information and submit appeal letter for payment. Responsible for reporting weekly, monthly and quarterly data to pertinent departments and committees (i.e QIC, Physician Chairs, CFO, CNO etc.) Works daily with case managers to follow up on front end denials.

Identifies improvement initiatives to decrease denials.

Acts as the liaison to HQS / PRO.

Communicates with third party payers regarding denials Assist with utilization review duties.

Experience :

2 years Utilization Review in acute care hospital required. Basic information on DRGs and contract information.

Primary care nursing experience in an acute care hospital setting within a period of no less than 5 years.

Education :

Current NJ RN license. BSN or MSN strongly recommended.

Other Required License / Credentials / Skills :

Excellent interpersonal skills.

Excellent clinical nursing skills.

Working familiarity with personal computer.

Experience with database software preferred.

Bi-Weekly Hours : 80

The minimum starting rate for this position is $40.67

When determining a team members base rate, several factors may be considered as applicable (e.g., years of recent relevant experience, education, credentials, and internal equity).

At Deborah, healthcare is still about caring...for patients and team members. That is why we offer an outstanding benefits package, which includes healthcare coverage for team members in regularly budgeted positions of at least 30 hours per week. The benefits package also includes generous paid time-off, 401K matching contribution, tuition assistance, short and long term disability benefits, life insurance, meal discount, dependent care subsidy, adoption assistance and free parking.

Qualifications

0" style="display : none;">

Skills

0">

0">

0" style="display : none;">

Behaviors

0">

0">

0" style="display : none;">

Motivations

0">

0">

0" style="display : none;">

Education

0">

0">

0" style="display : none;">

Experience

0">

0">

0" style="display : none;">

Licenses & Certifications

0">

0">

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.

For further information, please review the

Know Your Rights

notice from the Department of Labor.

serp_jobs.job_alerts.create_a_job

Coordinator • Browns Mills, NJ, United States

Job_description.internal_linking.related_jobs
Content Claims Coordinator

Content Claims Coordinator

VirtualVocations • Philadelphia, Pennsylvania, United States
serp_jobs.job_card.full_time
A company is looking for a Content Claims Coordinator.Key Responsibilities Triage and handle complex assignments to ensure successful claims setup Manage all tasks necessary to move claims to Co...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Case Management Coordinator

Case Management Coordinator

VirtualVocations • Hamilton, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for a Case Management Referral Coordinator.Key Responsibilities Manage the referral email inboxes and process referrals in the ALARISware System Attend ongoing training and ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Closing Coordinator

Closing Coordinator

VirtualVocations • Philadelphia, Pennsylvania, United States
serp_jobs.job_card.full_time
A company is looking for a Closing Coordinator who will facilitate the loan closing process in a fast-paced environment.Key Responsibilities Coordinate all aspects of finalizing the loan closing ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Field Health Benefits Coordinator

Field Health Benefits Coordinator

Conduent State Healthcare, LLC • Old Bridge, 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_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Scheduling Coordinator

Scheduling Coordinator

VirtualVocations • Philadelphia, Pennsylvania, United States
serp_jobs.job_card.full_time
A company is looking for a Scheduling Coordinator who will manage the scheduling of closings in a fast-paced environment. Key Responsibilities Coordinate scheduling assignments between signing age...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Appeals Coordinator

Appeals Coordinator

Deborah Heart and Lung Center • BROWNS MILLS, NJ, US
serp_jobs.job_card.full_time
Responsible for reviewing third-party payment denials, reviewing chart, communicate with physician to collect pertinent information and submit appeal letter for payment. Responsible for reporting we...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Subrogation Coordinator

Subrogation Coordinator

White and Williams LLP • Philadelphia, Pennsylvania, United States
serp_jobs.job_card.full_time
The Philadelphia office of White and Williams LLP, a large multi-practice law firm, is seeking a property subrogation claims professional to join its thriving Subrogation Department.The ideal candi...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Contracts Coordinator

Contracts Coordinator

VirtualVocations • Philadelphia, Pennsylvania, United States
serp_jobs.job_card.full_time
A company is looking for a Contracts Coordinator to manage the daily contract lifecycle and support the Sales team.Key Responsibilities Manage the end-to-end workflow of designated contracts, inc...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Ambulance Biller Lead

Ambulance Biller Lead

VirtualVocations • Hamilton, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for an Accounts Receivable Lead.Key Responsibilities Manage revenue cycles related to outstanding insurance accounts receivable, denials, and appeals Act as a subject matter...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Enrollment Operations Coordinator

Enrollment Operations Coordinator

VirtualVocations • Hamilton, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for an Enrollment Operations Coordinator.Key Responsibilities Review and process incoming applications, transcripts, and supporting admission documents Update and maintain a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Complaint Coordinator

Complaint Coordinator

VirtualVocations • Hamilton, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for a Complaint Coordinator I.Key Responsibilities Log complaints into the SAP Complaint system and gather necessary information Issue call tags, sales force notifications, ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
North Carolina Appeals Specialist

North Carolina Appeals Specialist

VirtualVocations • Hamilton, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for an Appeals Specialist II to support the documentation and processing of appeals, disputes, and reconsiderations. Key Responsibilities Perform data entry to track, log, and...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Member Engagement Coordinator

Member Engagement Coordinator

VirtualVocations • Hamilton, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for a Member Engagement Coordinator (scheduler).Key Responsibilities Conduct member outreach via telephone, text, and email to engage patients for scheduling and confirming a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Behavioral Health Appeals Clinician

Behavioral Health Appeals Clinician

VirtualVocations • Philadelphia, Pennsylvania, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Clinician Appeals - Behavioral Health.Key Responsibilities Performs clinical reviews to resolve and process appeals by analyzing medical records and cli...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Appeals and Grievance Specialist

Appeals and Grievance Specialist

VirtualVocations • Philadelphia, Pennsylvania, United States
serp_jobs.job_card.full_time
A company is looking for an Appeals and Grievance Specialist responsible for managing the resolution process of medical and pharmacy member appeals and complaints. Key Responsibilities : Manage mem...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Contents Claims Coordinator

Contents Claims Coordinator

VirtualVocations • Philadelphia, Pennsylvania, United States
serp_jobs.job_card.full_time
A company is looking for a Contents Claims Coordinator.Key Responsibilities Manage claim files from intake to delivery, focusing on quality and cycle time Collaborate with various business units...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Cash Application Coordinator

Cash Application Coordinator

VirtualVocations • Hamilton, New Jersey, United States
serp_jobs.job_card.full_time
A company is looking for a Cash Application Coordinator to manage cash application functions within the finance department. Key Responsibilities Apply receivables to Cash Receipts Log, QuickBooks,...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Patient Scheduling Coordinator

Patient Scheduling Coordinator

VirtualVocations • Philadelphia, Pennsylvania, United States
serp_jobs.job_card.full_time
A company is looking for a Patient Scheduling Coordinator to assist in scheduling visits for field staff and addressing patient inquiries. Key Responsibilities Respond promptly and courteously to ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Appeals and Grievances Specialist

Appeals and Grievances Specialist

VirtualVocations • Philadelphia, Pennsylvania, United States
serp_jobs.job_card.full_time
A company is looking for a Specialist, Appeals & Grievances.Key Responsibilities Facilitates research and resolution of appeals, disputes, grievances, and complaints from members and providers R...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Workers' Compensation Claims Coordinator

Workers' Compensation Claims Coordinator

VirtualVocations • Philadelphia, Pennsylvania, United States
serp_jobs.job_card.full_time
A company is looking for a Workers' Compensation Claims Coordinator.Key Responsibilities Intake and process all workplace incidents and WC claims accurately and quickly in the claims system Init...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted