Talent.com
Appeals and Grievances Coordinator

Appeals and Grievances Coordinator

VirtualVocationsVirginia Beach, Virginia, 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 • Virginia Beach, Virginia, United States

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

Appeals Management Coordinator

VirtualVocationsNorfolk, Virginia, 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

VirtualVocationsChesapeake, Virginia, 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
Financial Intake Coordinator

Financial Intake Coordinator

VirtualVocationsNorfolk, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Financial Intake Coordinator II.Key Responsibilities Manages the authorization process and provides support for multiple payers Answers phones and routes calls appropr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Deed Coordinator

Deed Coordinator

VirtualVocationsChesapeake, Virginia, United States
serp_jobs.job_card.full_time
A company is looking for a Deed Coordinator responsible for preparing and ordering deeds, verifying recording fees, and entering information into EConnect. Key Responsibilities Coordinate and prep...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Revenue Cycle Coordinator

Revenue Cycle Coordinator

VirtualVocationsNorfolk, Virginia, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Hospitality & Banquet Services Associate

Hospitality & Banquet Services Associate

ManpowerGloucester Point, VA, US
serp_jobs.job_card.full_time
Our client, hospitality and event management industry leader, is seeking a Hospitality & Banquet Services Associate to join their team. As a Hospitality & Banquet Services Associate, you wil...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Entry Level Sales Representative

Entry Level Sales Representative

American Income LifeEastville, VA, US
serp_jobs.job_card.full_time
A Sales Career That Grows With You.Are you looking for a career path that gives you the freedom and flexibility to control your schedule, but also has the security and stability of a large company?...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Dealer Operations Coordinator

Dealer Operations Coordinator

VirtualVocationsNewport News, Virginia, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Appeals and Grievances Coordinator

Appeals and Grievances Coordinator

VirtualVocationsPortsmouth, Virginia, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Domestic Scheduling Coordinator

Domestic Scheduling Coordinator

VirtualVocationsNewport News, Virginia, 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_variable_days
  • serp_jobs.job_card.promoted
Grievance & Appeals Coordinator

Grievance & Appeals Coordinator

VirtualVocationsVirginia Beach, Virginia, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Complaint and Appeals Coordinator

Complaint and Appeals Coordinator

VirtualVocationsPortsmouth, Virginia, 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_30
  • serp_jobs.job_card.promoted
Senior Coordinator, Appeals Management

Senior Coordinator, Appeals Management

VirtualVocationsPortsmouth, Virginia, 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_1_day
  • serp_jobs.job_card.promoted
Managed Care Appeals Analyst

Managed Care Appeals Analyst

VirtualVocationsNewport News, Virginia, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Assignment Coordinator

Assignment Coordinator

VirtualVocationsNewport News, Virginia, 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_1_day
  • serp_jobs.job_card.promoted
Patient Accounts Coordinator

Patient Accounts Coordinator

VirtualVocationsNorfolk, Virginia, United States
serp_jobs.job_card.full_time
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
  • serp_jobs.job_card.promoted
Verification Coordinator

Verification Coordinator

VirtualVocationsNorfolk, Virginia, 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
Health and Life Insurance Coordinator

Health and Life Insurance Coordinator

VirtualVocationsVirginia Beach, Virginia, 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_variable_days
  • serp_jobs.job_card.promoted
Texas Licensed Clinical Appeals Coordinator

Texas Licensed Clinical Appeals Coordinator

VirtualVocationsVirginia Beach, Virginia, 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_variable_days
  • serp_jobs.job_card.promoted
Tennessee Licensed Appeals Coordinator

Tennessee Licensed Appeals Coordinator

VirtualVocationsChesapeake, Virginia, 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_1_day