Talent.com
Complaint and Appeals Coordinator

Complaint and Appeals Coordinator

VirtualVocationsPhoenix, Arizona, 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 • Phoenix, Arizona, United States

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

Grievance & Appeals Coordinator

VirtualVocationsGlendale, Arizona, 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
Remote Commercial Banking Analyst - AI Trainer

Remote Commercial Banking Analyst - AI Trainer

Data AnnotationMaricopa, Arizona
serp_jobs.filters.remote
serp_jobs.job_card.full_time +1
We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the q...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Earn More with Veyo – Fast Payouts & Flexibility!

Earn More with Veyo – Fast Payouts & Flexibility!

VeyoFountain Hills, AZ, United States
serp_jobs.job_card.full_time
Have a car? Earn a $1,000 BONUS + $10,000 GUARANTEE • when you sign up to drive your own vehicle and help transport others to healthcare appointments around Phoenix!. Veyo is a mission-driven company...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Revenue Cycle Coordinator

Revenue Cycle Coordinator

VirtualVocationsPhoenix, Arizona, 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
Complaint and Appeals Coordinator

Complaint and Appeals Coordinator

VirtualVocationsChandler, Arizona, 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

VirtualVocationsChandler, Arizona, 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 Disputes Coordinator

Appeals and Disputes Coordinator

RandstadPhoenix, AZ, US
serp_jobs.job_card.full_time
Appeals And Disputes Coordinator.Are you a highly analytical and detail-oriented professional with a passion for fairness and compliance? We are looking for a dedicated Appeals and Disputes Coordin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Grant Compliance Consultant

Grant Compliance Consultant

Vaco by HighspringMaricopa, Arizona, United States
serp_jobs.job_card.full_time
Vaco has partnered with a local mining company in search of Grant Compliance Project Manager to join their team.The Grant Compliance Project Manager will oversee and manage the process of ensuring ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
HR Coordinator - Mesa, AZ!

HR Coordinator - Mesa, AZ!

Vaco by HighspringRio Verde, Arizona, United States
serp_jobs.job_card.full_time
Vaco Phoenix is looking for an HR Coordinator for a top client in Mesa AZ! The HR Coordinator will handle onboarding, benefits set up, and day-to-day HR duties as well as full cycle recruiting.This...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

VirtualVocationsTempe, Arizona, 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
Correctional Officer - Saguaro

Correctional Officer - Saguaro

Core CivicMaricopa, AZ, US
serp_jobs.job_card.full_time
At CoreCivic, our employees are driven by a deep sense of service, high standards of professionalism and a responsibility to better the public good. As a CoreCivic employee, you can expect : .Paid tim...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

VirtualVocationsMesa, Arizona, 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
  • serp_jobs.job_card.new
Team Coordinator Scheduling

Team Coordinator Scheduling

VirtualVocationsPhoenix, Arizona, United States
serp_jobs.job_card.full_time
A company is looking for a Team Coordinator Scheduling.Key Responsibilities Schedule clinicians for cases and communicate changes in schedule or service delivery Organize job duties and responsi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Appeals Specialist

Appeals Specialist

VirtualVocationsTempe, Arizona, 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

VirtualVocationsGilbert, Arizona, 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
Tennessee Licensed Appeals Coordinator

Tennessee Licensed Appeals Coordinator

VirtualVocationsTempe, Arizona, 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
Domestic Scheduling Coordinator

Domestic Scheduling Coordinator

VirtualVocationsPhoenix, Arizona, 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
Assignment Coordinator

Assignment Coordinator

VirtualVocationsMesa, Arizona, 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
Senior Coordinator, Appeals Management

Senior Coordinator, Appeals Management

VirtualVocationsScottsdale, Arizona, 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
Patient Accounts Coordinator

Patient Accounts Coordinator

VirtualVocationsTempe, Arizona, 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