Appeals Coordinator
Temple University
Responsible for clinically assessing all adverse determinations made by insurers through all levels of the appeals process. Education Other Graduate of an accredited school of nursing Required Experience General Experience and knowledge of InterQual and Milliman criteria. Required General Experience and working knowledge of ICD-10 CM coding Required General Experience and Knowledge of APC coding Preferred Licenses PA Registered Nurse License Required Multi State Compact RN License Required Or
Your Tomorrow is Here! Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University. To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here! Equal Opportunity Employer/Veterans/Disabled An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Your Tomorrow is Here! Temple University Hospital is a nationally respected teaching hospital on Temple University's bustling Health Sciences Center campus. The hospital provides a comprehensive array of healthcare services both basic and complex to patients from around the corner, across the country and around the world. As the chief clinical training site for the Lewis Katz School of Medicine at Temple University, the hospital provides a dynamic environment for high-quality care, teaching, and cutting edge research.- ...Coordinator, Clinical Analysis & Appeals Develops and maintains accurate information on the Denials and Appeal for all third party payers as well as Medical Assistance Late Pick-up process to ensure appropriate reimbursement to TUH and Episcopal. Creates reports in...Suggested
- Position Summary The Appeals Supervisor oversees day‑to‑day operations of the administrative (non-clinical)appeals. This role ensures... ..., review, correspondence generation, and workflow coordination non-clinical appeals. The position supports Commercial (PA & NJ...SuggestedWork at office
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...starting range based on experience and education level. Site Coordinator is a school-based professional who implements the Communities... ...a protected activity, whistle blowing, or the exercise of an appeal or grievance right provided by law will not be tolerated. CISEPA...SuggestedFull timeSummer workWork at officeLocal areaNight shift$25k
...KeystoneCare is seeking a dedicated Intake Coordinator, where you will play a crucial role in coordinating the flow of patients into our care system. As the first point of contact, you will educate potential patients and referral sources about our services, manage all...SuggestedWork at office- Job Description Job Description Job Summary: Basic purpose or primary function of the job. This part-time staff member will work 21 hours per week to field inquiries for potential counseling clients. As the “first response” for clients who reach out to JFCS in ...Part time
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...Job Description Job Description Reentry Coordinator Job Description Locations: Temple University Center City, 1515 Market Street, Suite 300, Philadelphia, PA (main office) and Duquesne University, Tribone Center for Clinical Legal Education, 912 Fifth...Work experience placementInternshipWork at officeLocal areaAfternoon shift- The Intake Coordinator position is the "Care Traffic Controller" responsible for acting as the hub for new clients- managing all aspects of the client intake process by utilizing outstanding sales, marketing and customer service skills. These duties will be performed with...Work at office
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...Dispatch Coordinator SERVPRO of Mount Ephraim/Bellmawr is hiring a Dispatch Coordinator! SERVPRO of Mount Ephraim/Bellmawr offers: Competitive compensation Superior benefits Career progression Professional development And more! As the Dispatch Coordinator...Hourly payWork at officeLocal areaWork from homeFlexible hours- ...The Accounts Payable Coordinator is responsible for processing vendor invoices, ensuring timely payments and maintaining accurate records in compliance with NET policies and procedures and nonprofit accounting standards. This role supports the finance team by managing...
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...Asset Protection Coordinator We're building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves...Hourly payFull timeLocal areaFlexible hoursNight shift- ...Accela Rehab & Care Center at Somerton Address: 650 Edison Ave, Philadelphia, PA 19116 Now Hiring: MDS Coordinator We offer competitive pay rates for this position, which may vary based on your experience and qualifications. We take pride in offering a flexible...Immediate startFlexible hours
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...MDS Coordinator Cambridge Rehabilitation and Healthcare Center Join our team at Cambridge Rehabilitation & Healthcare Center as a MDS Coordinator. Proudly supported by Marquis Health Consulting Services. Full Time position. Same Day Pay available! Rate Range: $35.00...Daily paidFull timeLocal area- ...Aircraft Ground Repositioning Coordinator The Aircraft Ground Repositioning Coordinator (AGR) is responsible for ensuring the safe and timely movement of all aircraft by operating ground service equipment from all points on taxiways and ramp surfaces. The team member...Full timePart timeWork at officeLocal areaRemote workWorldwideFlexible hoursShift work
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...health care one person, one family and one community at a time. Job Purpose and Summary: The purpose of the Asset Protection Coordinator (APC) is to improve the retail customer experience and mitigate company losses to external theft in their assigned store. This...Hourly payFull timeLocal areaFlexible hoursNight shift- ...Join Our Surgical Team as a Key Surgical Coordinator! Our established multi-specialty Ophthalmology group is seeking a highly organized and patient-focused Surgical Coordinator to manage our surgical bookings and schedules. If you excel in a fast-paced environment...Flexible hours
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...We’re looking for a driven transaction coordinator to manage contracts throughout the entire home selling and buying process. You’d be responsible for overseeing transactions from start to finish to ensure offers and counteroffers are approved for a smooth and successful...Work at officeImmediate start- ...data entry in a timely and accurate manner Completes daily surgical schedule and distributes as appropriate Assures appropriate coordination with hospitals, surgical centers, and internal staff when special surgical needs occur Other duties as assigned Administrative Support...Work at officeLocal area
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Event And Volunteer Manager Location: Philadelphia, PA (Center City) Position Type: Part Time, May - August 2026 - 3-4 evenings or weekend days each week Reports To: Senior Director of Visitor Services Position pays: $22-25 / hour The Philadelphia Visitor Center ...Temporary workPart timeSummer workSeasonal workWeekend workAfternoon shift
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