Talent.com
Appeals and Grievances Coordinator

Appeals and Grievances Coordinator

VirtualVocationsFort Worth, Texas, 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 • Fort Worth, Texas, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Grievance & Appeals Coordinator

Grievance & Appeals Coordinator

VirtualVocationsGrand Prairie, Texas, 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
Earn At Least $1865 For Your First 164 Trips, Guaranteed.

Earn At Least $1865 For Your First 164 Trips, Guaranteed.

UberParadise, TX, United States
serp_jobs.job_card.full_time +1
Earn at least $1865 driving with Uber when you complete your first 164 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Accounts Coordinator

Patient Accounts Coordinator

VirtualVocationsIrving, Texas, 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
Revenue Cycle Coordinator

Revenue Cycle Coordinator

VirtualVocationsArlington, Texas, 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
Customs and Border Protection Officer - Experienced (GS9)

Customs and Border Protection Officer - Experienced (GS9)

U.S. Customs and Border ProtectionGodley, TX, United States
serp_jobs.job_card.full_time
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
RT Vent Care Coordinator

RT Vent Care Coordinator

AdaptHealth LLCWaxahachie, TX, United States
serp_jobs.job_card.full_time
The RT Vent Field Clinician is a Respiratory Therapist providing respiratory patient care to Vent patients for optimal outcomes. Provides respiratory care to patients in alternate sites in accordanc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Managed Care Appeals Analyst

Managed Care Appeals Analyst

VirtualVocationsIrving, Texas, 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

VirtualVocationsIrving, Texas, 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
Complaint and Appeals Coordinator

Complaint and Appeals Coordinator

VirtualVocationsGrand Prairie, Texas, 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
Appeals Management Coordinator

Appeals Management Coordinator

VirtualVocationsCarrollton, Texas, 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
Domestic Scheduling Coordinator

Domestic Scheduling Coordinator

VirtualVocationsIrving, Texas, 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
Senior Coordinator, Appeals Management

Senior Coordinator, Appeals Management

VirtualVocationsFort Worth, Texas, 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
Tennessee Licensed Appeals Coordinator

Tennessee Licensed Appeals Coordinator

VirtualVocationsFort Worth, Texas, 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
  • serp_jobs.job_card.promoted
Customs and Border Protection Officer

Customs and Border Protection Officer

U.S. Customs and Border ProtectionBoyd, TX, United States
serp_jobs.job_card.full_time
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
Appeals and Grievances Coordinator

Appeals and Grievances Coordinator

VirtualVocationsIrving, Texas, 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
Travel CVOR Tech - $682 to $756 per week in Midlothian, TX

Travel CVOR Tech - $682 to $756 per week in Midlothian, TX

AlliedTravelCareersMidlothian, TX, US
serp_jobs.job_card.full_time
AlliedTravelCareers is working with LRS Healthcare to find a qualified CVOR Tech in Midlothian, Texas, 76065!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits packag...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Appeals Specialist

Appeals Specialist

VirtualVocationsArlington, Texas, 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
Texas Licensed Clinical Appeals Coordinator

Texas Licensed Clinical Appeals Coordinator

VirtualVocationsCarrollton, Texas, 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
Border Patrol Agent

Border Patrol Agent

U.S. Customs and Border ProtectionDeCordova, TX, United States
serp_jobs.job_card.full_time
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
Health and Life Insurance Coordinator

Health and Life Insurance Coordinator

VirtualVocationsFort Worth, Texas, 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