Talent.com
Complaint and Appeals Coordinator

Complaint and Appeals Coordinator

VirtualVocationsMadison, Wisconsin, 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, 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 • Madison, Wisconsin, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Financial Intake Coordinator

Financial Intake Coordinator

VirtualVocationsMadison, Wisconsin, 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
Dealer Operations Coordinator

Dealer Operations Coordinator

VirtualVocationsMadison, Wisconsin, 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 Management Coordinator

Appeals Management Coordinator

VirtualVocationsMadison, Wisconsin, 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 and Grievances Coordinator

Appeals and Grievances Coordinator

VirtualVocationsMadison, Wisconsin, 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
  • serp_jobs.job_card.new
Tennessee Licensed Appeals Coordinator

Tennessee Licensed Appeals Coordinator

VirtualVocationsMadison, Wisconsin, 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
Revenue Cycle Coordinator

Revenue Cycle Coordinator

VirtualVocationsMadison, Wisconsin, 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
Campaign Coordinator

Campaign Coordinator

VirtualVocationsMadison, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Campaign Coordinator to manage and execute multi-channel advertising campaigns.Key Responsibilities Facilitate daily team huddles and coordinate end-to-end campaign del...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Appeals Specialist

Appeals Specialist

VirtualVocationsMadison, Wisconsin, 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
Managed Care Appeals Analyst

Managed Care Appeals Analyst

VirtualVocationsMadison, Wisconsin, 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
Guest Experience Coordinator

Guest Experience Coordinator

Great Wolf LodgeBaraboo, WI, US
serp_jobs.job_card.full_time +1
This role leads Great Wolf Lodge kids' activities and entertainment.Hiring immediately with full-time, part-time, and flexible scheduling – must be at least sixteen (16) years or older ex...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Travel Pathology Assistant - $1,804 per week in Fort Atkinson, WI

Travel Pathology Assistant - $1,804 per week in Fort Atkinson, WI

AlliedTravelCareersFort Atkinson, WI, US
serp_jobs.job_card.full_time
AlliedTravelCareers is working with Anders Group to find a qualified Pathology Assistant in Fort Atkinson, Wisconsin, 53538!. Pathology Assistant Pathology Assistant.Apply online or contact us ASAP ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
ABA Services Onboarding Coordinator

ABA Services Onboarding Coordinator

VirtualVocationsMadison, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for an ABA Services Onboarding Coordinator to manage the onboarding process for new team members.Key Responsibilities Manage full-cycle onboarding and offboarding processes ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Domestic Scheduling Coordinator

Domestic Scheduling Coordinator

VirtualVocationsMadison, Wisconsin, 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
Health and Life Insurance Coordinator

Health and Life Insurance Coordinator

VirtualVocationsMadison, Wisconsin, 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
  • serp_jobs.job_card.new
Community Service Center Coordinator

Community Service Center Coordinator

YWCA OF ROCK COUNTY, INC.Janesville, WI, US
serp_jobs.job_card.full_time
Community Service Center Coordinator.YWCA Rock County is dedicated to eliminating racism, empowering women, and promoting peace, justice, freedom and dignity for all. YWCA Rock County and provides v...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Assignment Coordinator

Assignment Coordinator

VirtualVocationsMadison, Wisconsin, 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
Member Communication Services Coordinator

Member Communication Services Coordinator

VirtualVocationsMadison, Wisconsin, United States
serp_jobs.job_card.full_time
A company is looking for a Coordinator, Member Communication Services.Key Responsibilities Proof letters in PDF format for accuracy against data file information and templates Support lead team ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Grievance & Appeals Coordinator

Grievance & Appeals Coordinator

VirtualVocationsMadison, Wisconsin, 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_variable_hours