Talent.com
Appeals and Grievances Coordinator

Appeals and Grievances Coordinator

VirtualVocationsSacramento, California, 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

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 effectively to meet service level agreements using CarePro and other internal systems

Maintain accurate documentation and tracking to support reporting, compliance, and audits

Required Qualifications

High school diploma or GED is required

Minimum of 3 years' experience in an Appeals and Grievances role or similar administrative role

Proficiency with CarePro and related health plan applications is preferred

Familiarity with healthcare processes and regulatory guidelines is necessary

Experience with Windows, Excel, and related computer applications is required

serp_jobs.job_alerts.create_a_job

Appeal And Grievance • Sacramento, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Appeals Management Coordinator

Appeals Management Coordinator

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Appeals Specialist

Appeals Specialist

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Travel Licensed Professional Marriage Counselor - $2,682 per week in Ione, CA

Travel Licensed Professional Marriage Counselor - $2,682 per week in Ione, CA

AlliedTravelCareersIone, CA, US
serp_jobs.job_card.full_time
AlliedTravelCareers is working with Cynet Health to find a qualified Licensed Professional Marriage Counselor in Ione, California, 95640!. Job Title : PSYL Profession : PSYL Specialty : Mental Heal...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Client Coordinator

Client Coordinator

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Client Coordinator to manage client inquiries and data entry in a remote setting.Key Responsibilities Respond to inquiries from clients and representatives regarding re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Grievance and Appeals Coordinator

Grievance and Appeals Coordinator

A-Line Staffing SolutionsSacramento, CA, US
serp_jobs.job_card.full_time
Grievance and Appeals Coordinator .Healthcare Corporation in the Sacramento CA 95834 area!.Schedule : Monday-Friday 8 : 00am- -6 : 00pm (staggered shifts). Position starts off remote but will return to o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Licensed Professional Marriage Counselor - $2,686 per week in Ione, CA

Travel Licensed Professional Marriage Counselor - $2,686 per week in Ione, CA

AlliedTravelCareersIone, CA, US
serp_jobs.job_card.full_time
AlliedTravelCareers is working with Cynet Health to find a qualified Licensed Professional Marriage Counselor in Ione, California, 95640!. Job Title : PSYL Profession : PSYL Specialty : Mental Heal...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Partnership Operations Coordinator

Partnership Operations Coordinator

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Partnership Operations Coordinator to streamline partnership processes and improve operational efficiency. Key Responsibilities Manage startup credit requests from appli...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Tennessee Licensed Appeals Coordinator

Tennessee Licensed Appeals Coordinator

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
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_variable_hours
  • serp_jobs.job_card.promoted
Family Coordinator I

Family Coordinator I

Turning Point Community ProgramsElk Grove, CA, US
serp_jobs.job_card.full_time
Under the administrative supervision of the Program Director, this at-will direct service position is responsible to work with youth who are experiencing emotional and behavioral challenges.The pro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Health and Life Insurance Coordinator

Health and Life Insurance Coordinator

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
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_1_day
  • serp_jobs.job_card.promoted
Customer Relations Coordinator

Customer Relations Coordinator

TradeJobsWorkforce95812 Sacramento, CA, US
serp_jobs.job_card.full_time
As a Customer Relations Coordinator, you will be responsible for providing exceptional service and support to customers, including : respond to customer inquiries via phone & in person.Finance to pr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
NOW HIRING - Teller Part Time Yuba Plaza (Remote - hybrid)

NOW HIRING - Teller Part Time Yuba Plaza (Remote - hybrid)

WELLS FARGO BANKYUBA CITY, California, United States of America
serp_jobs.filters.remote
serp_jobs.job_card.part_time
Are you looking for more? Find it here.At Wells Fargo, we're more than a financial services leader - we're a global trailblazer committed to driving innovation, empowering communities, and helping ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Verification Coordinator

Verification Coordinator

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Verification / Authorization Coordinator.Key Responsibilities Verify patient eligibility and obtain authorizations for home care / hospice services from insurance payors R...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Senior Coordinator, Appeals Management

Senior Coordinator, Appeals Management

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
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_variable_hours
  • serp_jobs.job_card.promoted
Title Policy Coordinator

Title Policy Coordinator

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Title Policy Coordinator who will be responsible for creating and delivering title policies in a fast-paced environment. Key Responsibilities Review orders to ensure all...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Complaint and Appeals Coordinator

Complaint and Appeals Coordinator

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
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_variable_days
  • serp_jobs.job_card.promoted
Domestic Scheduling Coordinator

Domestic Scheduling Coordinator

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Assignment Coordinator

Assignment Coordinator

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
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_variable_hours
  • serp_jobs.job_card.promoted
Remote Client Relations Coordinator

Remote Client Relations Coordinator

TradeJobsWorkforce94248 Sacramento, CA, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
As a Remote Client Relations Coordinator, you will be responsible for supporting customers and handling inquiries from the comfort of your home, including : respond to customer inquiries via phone, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Texas Licensed Clinical Appeals Coordinator

Texas Licensed Clinical Appeals Coordinator

VirtualVocationsSacramento, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals Coordinator.Key Responsibilities Act as the liaison for statewide appeals, ensuring compliance with State and NCQA requirements Review clinical inform...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day