Talent.com
Complaint and Appeals Coordinator

Complaint and Appeals Coordinator

VirtualVocationsTampa, Florida, United States
job_description.job_card.30_days_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 Coordinator, Complaint & Appeals (Remote).

Key Responsibilities

Reviews and processes appeals and grievances filed by patients

Conducts internal audits and addresses compliance issues related to Complaint and Appeals policies

Prepares educational materials and coaches junior colleagues on best practices

Required Qualifications

1 year of experience in HMO and Traditional claim platforms, patient management, or compliance analysis

High School diploma or equivalent

Experience with Medicare and claims processing is preferred

Ability to read and research benefit language in Summary Plan Descriptions or Certificates of Coverage

Experience in conducting research and analysis of claims processing is a plus

serp_jobs.job_alerts.create_a_job

Complaint Coordinator • Tampa, Florida, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Complaint Specialist

Complaint Specialist

Fay ServicingTampa, FL, US
serp_jobs.job_card.full_time
Founded in early 2008, Fay Servicing is committed to providing innovative servicing solutions for both residential and business-purpose loans. As a specialty mortgage servicer who sees the customer ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Proposal Coordinator

Proposal Coordinator

PegasusTSI IncTampa, FL, USA
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
PegasusTSI is a private, Florida-based company where people matter, where your voice is heard, and where decisions are made with PegasusTSI's business wellbeing and our team members' best interest ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Job Developer & Employment Services Coordinator

Job Developer & Employment Services Coordinator

MacDonald Training Center, Inc.Tampa, Florida, United States, 33607
serp_jobs.job_card.full_time
We are seeking a dynamic and organized Job Developer who will also be responsible for documentation, billing oversight, and adherence to policies. The ideal candidate will have a people-first mindse...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Immediate Hiring of Community Care Coordinator

Immediate Hiring of Community Care Coordinator

Assisting Hands - PascoNew Port Richey, FL, US
serp_jobs.job_card.full_time
The Community Care Coordinator plays a key role in facilitating the delivery of high-quality,non-skilled home care services to clients. This position is responsible for client intake, careplanning, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Deployment & Mobilization Coordinator

Deployment & Mobilization Coordinator

Clearance JobsTampa, FL, US
serp_jobs.job_card.temporary
Deployment & Mobilization Coordinator.The Deployment & Mobilization Coordinator will track all inbound and outbound personnel, ensure they receive CAC, visas, passports, etc.Input of LOAs in SPOT a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
On Call Coordinator

On Call Coordinator

Team Select Home CareTampa, FL, US
serp_jobs.job_card.full_time
The On-Call Coordinator (OCC) performs multiple tasks for a patient population during business hours and after business hours, on weekends and holidays and assists the Relationship Managers (RM) wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Facilities Coordinator

Facilities Coordinator

TELYRX LLCClearwater, FL, United States
serp_jobs.job_card.full_time
Looking to be at the cutting edge of healthcare and pharmacy? If so TelyRx is for you.We are seeking a highly motivated registered pharmacy technician to join our team. We are a state-of-the-art tec...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Admissions Coordinator - Urgently Hiring!

Admissions Coordinator - Urgently Hiring!

Westchester Gardens Health & RehabilitationClearwater, FL, United States
serp_jobs.job_card.full_time
The Admissions Coordinator plays an integral role in the success of our team, our community and creating a place our residents are proud to call home. The primary purpose of this position is to obta...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Facilities Coordinator

Facilities Coordinator

Cellular SalesTampa, FL, US
serp_jobs.job_card.full_time
Position Type / Expected Hours of Work.Days and hours of work are Monday through Friday, 8 : 30 a.Must be able to lift up to 50 lbs. Required Education and Experience.Preferred Education and Experience....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less
  • serp_jobs.job_card.promoted
Permit Coordinator

Permit Coordinator

Great Day ImprovementsSaint Petersburg, FL, US
serp_jobs.job_card.full_time
Champion Window - Permit Coordinator.As the Permit Coordinator, you will be responsible for submitting and applying for all permitted projects sold. This role is pivotal in ensuring that permitting ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Utilities Coordinator

Utilities Coordinator

Nesco ResourceBrandon, FL, US
serp_jobs.job_card.full_time
Utilities Coordinator — M-F 8am-5pm.Responsible for setting up services at vacant homes via phone calls, emails, faxes and other required software. Reviewing photos and gaining client feedback perta...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less
  • serp_jobs.job_card.promoted
Patient Services Coordinator- Bayshore

Patient Services Coordinator- Bayshore

PT SolutionsRuskin, FL, 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
Referrals & Front Office Coordinator

Referrals & Front Office Coordinator

MyCare Medical GroupTampa, FL, US
serp_jobs.job_card.full_time
Referrals & Front Office Coordinator.The Referrals & Front Office Coordinator will be responsible for preparing and processing all managed care referral paperwork, as well as additional Front Offic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Admissions Coordinator - Now Hiring!

Admissions Coordinator - Now Hiring!

Westchester Gardens Health & RehabilitationClearwater, FL, United States
serp_jobs.job_card.full_time
The Admissions Coordinator plays an integral role in the success of our team, our community and creating a place our residents are proud to call home. The primary purpose of this position is to obta...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Job File Coordinator

Job File Coordinator

ServproSaint Petersburg, FL, US
serp_jobs.job_card.full_time
Join Our Franchise as a Job File Coordinator.Do you love helping people through difficult situations? In this position, you will be making a difference each and every day.We have a sincere drive to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Coordinator

Patient Coordinator

AkuminSaint Petersburg, FL, US
serp_jobs.job_card.full_time
The Patient Coordinator is responsible for performing a variety of customer service and patient care tasks to ensure a positive patient experience. Ensures documentation and patient records are prep...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Male Involvement Coordinator

Male Involvement Coordinator

REACHUPTampa, FL, USA
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Looking for a career with an incredibly tight-knit organization that's also dedicated to helping their community? Then you've come to the right place! This is your chance to be part of an organizat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Clinical Logistics & Operations Coordinator

Clinical Logistics & Operations Coordinator

Shields at HomeTampa, FL, USA
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Shields at Home is reimagining healthcare by delivering high-quality hospital-level care to.Our team of clinicians and healthcare professionals is passionate. We are seeking a highly motivated, flex...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Referrals / Front Desk Coordinator

Referrals / Front Desk Coordinator

MyCare Medical GroupLargo, FL, US
serp_jobs.job_card.full_time
Referrals / Front Desk Coordinator.The Referrals / Front Desk Coordinator will be responsible for preparing and processing all managed care referral paperwork, as well as assisting patients with check-...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Scheduling / Treatment plan / Patient coordinator

Scheduling / Treatment plan / Patient coordinator

My Harmony SmilesNew Port Richey, FL, US
serp_jobs.job_card.full_time
Synergy Dental Spa is looking for a friendly face to join our family team!.Excellent phone, verbal & written communication skills are very important for this position(You are the first voice ou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30