Talent.com
Complaint and Appeals Coordinator

Complaint and Appeals Coordinator

VirtualVocationsRaleigh, North Carolina, 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 • Raleigh, North Carolina, United States

Job_description.internal_linking.related_jobs
Employment Specialist / Job Placement Coordinator - Durham

Employment Specialist / Job Placement Coordinator - Durham

Cape Fear Group, INCDurham, North Carolina, United States, 27701
serp_jobs.job_card.full_time +1
Employment Specialist / Job Placement Coordinator - Durham.Cape Fear Life Enhancement Services.Cape Fear Life Enhancement Services. Employment Specialist / Job Placement Coordinator.Hours : Part-time 20-...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Patient Coordinator

Patient Coordinator

Avance CareChapel Hill, NC, US
serp_jobs.job_card.full_time
Discover a rewarding career path with Avance Care where innovation meets compassion.Avance Care is growing fast, with 37 practice locations across the Triangle (Raleigh-Durham-Chapel Hill), the Ch...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Technology Group Proposal Coordinator

Senior Technology Group Proposal Coordinator

JMTRaleigh, NC, US
serp_jobs.job_card.full_time
Senior Technology Group Proposal Coordinator.JMT Technology Group, a leading technology services and solutions provider, is seeking a motivated, energetic, well-organized, and visionary senior prop...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Patient Coordinator

Patient Coordinator

Aspen DentalGarner, NC, US
serp_jobs.job_card.full_time
Patient Experience Coordinator.At Aspen Dental, we put You first, offering the security and job stability that comes with working with a world-class dental service organization (DSO).Our best-in-cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Billing Coordinator

Billing Coordinator

Alston & BirdRaleigh, NC, US
serp_jobs.job_card.full_time
As a leading international law firm, we are dedicated to excellence through impactful communication, collaboration, and community involvement. Our company culture has earned us one of the "100 Best ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Compliance Complaints Analyst

Compliance Complaints Analyst

Syntricate TechnologiesRaleigh, NC, US
serp_jobs.job_card.full_time
Complaint Management Department Support.Position will support the Bank's Complaint Management Department in ensuring the complaints program has connectivity across the company by supporting organiz...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Retail Team Member - Events Coordinator

Retail Team Member - Events Coordinator

MichaelsDurham, NC, US
serp_jobs.job_card.full_time
Michaels Store Event Coordinator.Plan, coordinate, and facilitate events (including kids birthday parties) within a Michaels store to provide a stress-free, fun, and engaging experience for guests....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Operations Coordinator

Operations Coordinator

STANDARDS BASED SOLUTIONS CONSULTINChapel Hill, NC, US
serp_jobs.job_card.full_time
Standards-Based Solutions Behavior Healthcare Resources.The position will be responsible for operational and administrative duties and responsibilities, to include billing, Human Resources, and acc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Collections Coordinator

Collections Coordinator

Riccobene Associates Family DentistryNC, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
The Collections Coordinator is a critical role responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors or supported region / company.Respo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
MDS Coordinator (RN) NO ON-CALL OR WEEKEND ROTATION

MDS Coordinator (RN) NO ON-CALL OR WEEKEND ROTATION

Signature HealthCARE, LLCChapel Hill, NC, US
serp_jobs.job_card.full_time
The ideal MDS Candidate is very detailed orientated, organized, self-motivated, while still being bedside for resident assessment and meeting with families. Knowledgeable of nursing and medical prac...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Coordinator

Coordinator

Community Workforce SolutionsRaleigh, NC, US
serp_jobs.job_card.full_time
Join our team to be the ultimate guide for clients navigating our Pathways, Bridge, and CE&T programs! You'll be the friendly first point of contact, juggling referral calls, explaining ser...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Workflow Coordinator

Workflow Coordinator

FreshfieldsRaleigh, NC, US
serp_jobs.job_card.full_time
As a pivotal member of the Assistant Center Team, your responsibilities will be wide ranging including but not limited to : . Utilizing the Service Now platform to assess and assign each fee earner re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Performance Outcomes Coordinator

Performance Outcomes Coordinator

Surgery PartnersDurham, NC, US
serp_jobs.job_card.full_time
Performance Outcomes Coordinator.North Carolina Specialty Hospital (NCSH) is a private, physician-owned medical center that opened its doors in 1926. Its commitment to growth and continuous improvem...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Services Coordinator

Patient Services Coordinator

Avance CareDurham, NC, US
serp_jobs.job_card.full_time
Exciting Career Opportunity With Avance Care!.Join our rapidly expanding network of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Vendor Onboarding Coordinator

Vendor Onboarding Coordinator

Global Technical TalentRaleigh, NC, US
serp_jobs.job_card.full_time
Alternate / Related Job Titles : Insurance Compliance Coordinator Certificate of Insurance Specialist Vendor Compliance Analyst Service Provider Onboarding Specialist Insurance Risk Management Coordin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
(Part-Time) Patient Coordinator

(Part-Time) Patient Coordinator

Avance CareApex, NC, US
serp_jobs.job_card.part_time
Discover a rewarding career path with Avance Care where innovation meets compassion.Avance Care is growing fast, with 37 practice locations across the Triangle (Raleigh-Durham-Chapel Hill), the Ch...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Scheduling Coordinator

Scheduling Coordinator

Johnson ControlsRaleigh, NC, US
serp_jobs.job_card.full_time
Customer Service Dispatch Supervisor.This is an onsite opportunity • • •.Under direct supervision of the Market Resource Manager, receives and schedules customer calls for service.Manages schedule of ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Referral Coordinator

Referral Coordinator

First Choice Community Health CentersLillington, NC, US
serp_jobs.job_card.full_time
The Referral Coordinator (RC) ensures referral and transition coordination activities.The RC will effectively coordinate customer service requirements with onsite clinical personnel.Performs a key ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Coordinator - Psychiatry

Patient Coordinator - Psychiatry

Avance CareChapel Hill, NC, US
serp_jobs.job_card.full_time
Exciting Career Opportunity with Avance Care!.Join our rapidly expanding network of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Support Coordinator

Support Coordinator

TEKsystemsMorrisville, NC, US
serp_jobs.job_card.full_time
Serve as primary inbound phone support for the Care Coordinator and Reimbursement Case Manager Provides unparalleled customer service while serving as a brand advocate and program representative; u...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30