Grievance & Appeals Coordinator
VirtualVocationsTamarac, Florida, United Statesjob_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 complaints, grievances, and appeals
Maintain files on individual appeals and grievances and support pay-for-performance programs
Required Qualifications
High school diploma or equivalent; associate's degree preferred
2+ years of experience in grievance or appeals, claims, or managed care
Experience with data entry and document management
Familiarity with HEDIS production functions
Ability to work remotely and manage large volumes of documents
serp_jobs.job_alerts.create_a_job
Coordinator • Tamarac, Florida, United States
Job_description.internal_linking.related_jobs
Enthusiastic Behavioral Healthcare Sales Coordinator.This position does not report into the local treatment facility.Candidates must reside in or within close.
West Palm Beach / Lake Worth Area.Step...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Coordinator, Appeals & Grievances.Key Responsibilities Review and process case requests ensuring compliance with regulatory and health plan guidelines Manage workload ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Senior Coordinator, Complaint and Appeals (Remote, PST).Key Responsibilities Oversee investigations and resolutions of appeals, ensuring timely and customer-focused res...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 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 r...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Dealer Operations Coordinator.Key Responsibilities Serve as the primary contact for dealers, managing daily operational functions via phone and email Research and reso...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Talent Operations Coordinator / Administrator.Key Responsibilities Partner with hiring managers and recruiters to streamline the interview process in a high-volume envi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Coordinator, Appeals Management.Key Responsibilities Perform denial research and follow-up with insurance companies to resolve outstanding appeals Compile and submit a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Managed Care Appeals Analyst.Key Responsibilities Research and review $0 balance accounts for contractual reimbursements and post necessary adjustments Create detailed...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for an Assignment Coordinator to manage client data and support the Assignment Setup Department.Key Responsibilities Manage sensitive client data while ensuring confidentiali...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day 
Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Select Employee Benefits New Business Coordinator.Key Responsibilities Assist with onboarding new sales and facilitate the transfer of new sales to the operations team ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Domestic Scheduling Coordinator who will manage the scheduling of depositions and legal proceedings.
Key Responsibilities Respond to client inquiries and service request...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Revenue Cycle Coordinator II.Key Responsibilities Resolve insurance and self-pay accounts, including managing claim appeals Support multiple payers, including commerci...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Hanley Foundation is a leader in substance use disorder treatment and prevention, dedicated to delivering high-quality care and resources to the community.
We are looking for an experienced Grants C...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for an Appeals and Letters Coordinator remote position.Key Responsibilities : Process denial-related and member-oriented written communications in compliance with Federal and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Patient Accounts Coordinator.Key Responsibilities Completes claims and documents billing activity according to regulations and guidelines Reviews trends related to den...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for an Appeals Specialist to perform non-medical reviews and process redetermination letters.Key Responsibilities Perform non-medical reviews and process redetermination lett...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Coordinator, Complaint & Appeals (Remote).Key Responsibilities Reviews and processes appeals and grievances filed by patients Conducts internal audits and addresses co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
The Contract Management Coordinator / Affidavit Team member is responsible for the timely review and execution of legal documents drafted by outside legal counsel.
The duties of this job require a h...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
- serp_jobs.job_card.promoted
Community Outreach Coordinator
Advanced Recovery SystemsLake Worth, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Appeals and Grievances Coordinator
VirtualVocationsFort Lauderdale, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Coordinator, Appeals Management
VirtualVocationsHialeah, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Grievance & Appeals Coordinator
VirtualVocationsHialeah, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Dealer Operations Coordinator
VirtualVocationsHialeah, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Talent Operations Coordinator
VirtualVocationsHialeah, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Appeals Management Coordinator
VirtualVocationsFort Lauderdale, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Managed Care Appeals Analyst
VirtualVocationsBoca Raton, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Assignment Coordinator
VirtualVocationsWest Palm Beach, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Border Patrol Agent
U.S. Customs and Border ProtectionSouth Bay, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Health and Life Insurance Coordinator
VirtualVocationsHialeah, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Domestic Scheduling Coordinator
VirtualVocationsWest Palm Beach, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Revenue Cycle Coordinator
VirtualVocationsWest Palm Beach, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Grants Coordinator
Hanley FoundationWest Palm Beach, FL, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tennessee Licensed Appeals Coordinator
VirtualVocationsFort Lauderdale, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Accounts Coordinator
VirtualVocationsDavie, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Appeals Specialist
VirtualVocationsHialeah, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Complaint and Appeals Coordinator
VirtualVocationsFort Lauderdale, Florida, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Coordinator, Foreclosure Affidavits
Ocwen FinancialWest Palm Beach, FL, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Customs and Border Protection Officer
U.S. Customs and Border ProtectionPahokee, FL, United Statesserp_jobs.job_card.full_time