Appeals Coordinator
Virtual Vocations Inc
Working remotely on a full-time basis, the Appeals Coordinator will manage Peer to Peer calls with payers, document information in proprietary systems, and support various departmental functions while communicating effectively over the phone. Key responsibilities Schedule and conduct Peer to Peer calls with CorroHealth Medical Directors Document payer call information and enter account statuses into multiple databases Provide support for case entry, Peer to Peer, and appeals processes within the department Required qualifications High School Diploma or equivalent required; Bachelor's degree preferred Call center experience preferred Understanding of denials processes for Medicare, Medicaid, and Commercial/Managed Care product lines is a plus Proficient in MS Word and Excel, with the ability to utilize formulas and manage spreadsheets Accurate keyboard skills with a minimum typing speed of 30 words per minute
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Appeals Coordinator in United States vacancy
- ...want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.We are currently seeking a Appeals and Grievances Coordinator to join our team in Fort Washington, Pennsylvania (US-PA), United States (US).System: the appeals system and the UM system...Suggested
$23.22 - $34.84 per hour
A leading health insurance provider is seeking a Grievance & Appeals Coordinator to work virtually full-time, with responsibilities including summarizing complaints, ensuring resolution of grievances, and documenting interactions. The ideal candidate should possess a high...SuggestedHourly payFull timeElevance Health
Chicago, IL5 days ago- ...Professional Management Enterprises (PME) seeks a Grievance & Appeals Coordinator I to analyze and resolve verbal and written claims and appeals from providers and pursue resolution of formal grievances from members. This remote in Indiana position requires a high school...SuggestedRemote work
Professional Management Enterprises
Indiana, PA1 day ago - ...Claims And Appeals Analyst Position: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Education/Experience: High school diploma or equivalent. Associate's degree preferred...Suggested
Randstad
Columbus, OH1 day ago $30 - $32 per hour
...Immediate need for a talented Grievance and Appeals Coordinator . This is a 6+ months contract opportunity with long-term potential, located in Corona, California (Hybrid) . Please review the job description below and contact us ASAP if interested. Pay Range $30.00/hr...SuggestedContract workImmediate startPyramid Consulting
Corona, CA5 days ago- ...Job Title Job Description Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Contact customers to gather information and communicate disposition of case. Conduct...Contract workApprenticeshipLocal areaRemote work
LanceSoft
Detroit, MI3 days ago - ...Working remotely, the full-time Appeals Management Coordinator will perform denial research, compile appeal bundles, and document processes while ensuring timely communication with insurance companies and clients. Key responsibilities Conduct denial research and follow...Full timeRemote work
Virtual Vocations Inc
United States5 days ago $22 - $23 per hour
...Immediate need for a Grievance & Appeals Coordinator . This is a 12+ Month Contract opportunity with long-term potential and is US ( Remote ). Please review the job description below and contact me ASAP if you are interested. Job Diva ID: 26-07046 Pay Range: $...Contract workWork at officeLocal areaImmediate startRemote workPyramid Consulting
New York, NY5 days ago- ...Appeals Coordinator Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has...Contract workWork at officeMonday to Friday
$22 per hour
...Appeals Coordinator Our client, a leading company specializing in non-invasive skin cancer treatment, is seeking an experienced and detail-oriented Appeals Coordinator to join their team. This is a hybrid position, allowing you to work from home two days per week and...Hourly payWork at officeWork from home2 days per week$34.42 - $67.6 per hour
Join to apply for the Appeals and Letters Coordinator Remote role at Optum 1 day ago Be among the first 25 applicants Join to apply for the Appeals and Letters Coordinator Remote role at Optum Optum is a global organization that delivers care, aided by technology to help...Remote jobHourly payMinimum wageFull timeContract workPart timeWork experience placementWork at officeLocal areaShift workWeekend work$22 per hour
We are seeking an Appeals & Grievances Coordinator to join The Hollister Group, a leading women-owned staffing firm in the Boston area. This role is remote with a compensation of $22/hr . Responsibilities: Coordinate appeals and grievances activities Track all member appeals...Contract workRemote work- Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator, a W2 contract engagement with one of our largest clients in Detroit, MI! REMOTE!! Title: Grievance & Appeals Coordinator Location : Detroit, MI (Fully Remote) Duration: 12+ Months Education...Contract workRemote work
- ...Appeals Coordinator Why should you join the BlueCross BlueShield of South Carolina family of companies? We've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance...Full timeContract workFor contractorsWork experience placementWork at officeLocal areaMonday to Friday
$23.22 - $34.84 per hour
...unless an accommodation is granted as required by law. Shift hours: Mon, Tues, Sat, Sun 8:30 am - 7:00 pm CST Grievance & Appeals Coordinator Responsibilities Summarizes and presents essential information for the clinical specialist or medical/dental director and legal...Full timeWork at officeLocal areaShift work- The Bronx District Attorney's Office is looking for an experienced attorney to manage post-conviction litigation. This role involves representing the People of the State of New York in appellate litigation, handling complex legal issues, and requires a Juris Doctorate ...Work at office
The Office of the Bronx District Attorney
New York, NY5 days ago - ...Job Responsibilities: Appeal and Grievance Coordinator Claims research and processing (more of researching why the claim was denied than actually researching into the claim) Authorization lookup/ building authorizations as well as updating authorizations Researching...Remote job
$40.41k - $68.6k
...Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from... ...- Maintain files on individual appeals and grievances - May coordinate the Grievance and Appeals Committee - Support the pay-for-...Hourly payFull timePart timeLive inWork at officeRemote workFlexible hours$20.62 - $30.93 per hour
...culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Denials & Appeals Coordinator serves as the operational driver for timely and effective denial management, working closely with other members of the team,...Full timeWork at office$22.84 per hour
...Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from... ...• Maintain files on individual appeals and grievances • May coordinate the Grievance and Appeals Committee • Support the pay-for-performance...Hourly payPermanent employmentTemporary workWork experience placementWork at officeShift work$21.3 - $23.96 per hour
...organization. Let’s be better together. Job Summary: Investigate and respond to medical, pharmacy and dental grievances, complaints, appeals, and inquiries for the organization. Respond to outside regulatory inquiries as needed. This position is in Government Programs....Hourly payFull timeWork at officeRemote workWork from homeAfternoon shift$40 - $43 per hour
...Description The successful candidate will be responsible for overseeing grievance and appeal reviews, as well as conducting cultural and linguistic reviews for our subcontractors to ensure alignment with our commitment to diversity and inclusion. This role will provide...Contract workTemporary workFor subcontractor$37k - $47k
...Program Integrity Job Summary Job Description Receive appeal notices and updates, create files for new appeals received, and... ...download rendered decision from appeal hearings via SharePoint. Coordinate with responsible parties, such as other LDH appeal staff, the...Full timeWork experience placementWork at office$22.99 per hour
...analyze and resolve verbal and written claims and authorization appeals from providers, as well as pursue the resolution of formal... ...member and provider complaints, grievances, and appeals. Workflow Coordination: Build authorizations for medical review and coordinate the...Hourly payPermanent employmentTemporary workWork experience placementWork at officeShift work$67.86k - $101.8k
...POSITION FLSA Status: Non-Exempt Department: Grievance and Appeals Reports To: Supervisor, Grievance and Appeals GENERAL DESCRIPTION OF POSITION The Grievance and Appeals Coordinator is responsible for the beginning-to-end process of receiving, researching...Full timeTemporary workWork at officeWeekend work- ...Appeals Coordinator Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities related to medical necessity and/or level of care. This associate will be a liaison and point...
$31 - $32 per hour
...Hiring: Appeals & Grievance Specialist II Location: Irving, TX (Onsite) Pay Rate: $31-$32/hr Are you an experienced healthcare professional with a background in Managed Care, Appeals & Grievances, and Claims Review ? We are seeking a detail-oriented Appeals...Full time$22.99 per hour
...Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from... ...• Maintain files on individual appeals and grievances • May coordinate the Grievance and Appeals Committee • Support the pay-for-performance...Hourly payPermanent employmentTemporary workWork experience placementWork at officeShift work- 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...Work at office
Independence Blue Cross
Philadelphia, PA2 days ago $87k - $92k
...on a regular basis including but not limited to review of curb appeal, maintenance projects, reports, work productivity, site... ...resource allocation, leadership technique, production methods, and coordination of people and resources. Understanding of current legal responsibilities...Permanent employmentContract workWork at officeLocal areaMonday to FridayAsset Living
Los Angeles, CA6 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Appeals Coordinator. Be the first to apply!
Related searches
- lpn coordinator United States
- cna coordinator United States
- remote coordinator United States
- library coordinator United States
- hris coordinator United States
- localization coordinator United States
- k-12 testing coordinator United States
- hedis coordinator United States
- ecommerce coordinator United States
- wellness coordinator United States