Appeals Coordinator
Virtual Vocations Inc
Managing denials and appeals processes, the full-time Denials and Appeals Coordinator will track, resolve, and analyze claims denials to ensure timely reimbursement while working remotely. Key responsibilities Monitor assigned queues and ensure follow-up dates are current across various systems Analyze denials to determine actions, complete appeals, and document all activities accurately Identify trends in denials to suggest improvements and reduce future claim issues Required qualifications H.S. Diploma or GED required; Associate Degree in Health Information Management preferred 1-3 years of experience in medical billing, revenue cycle, or claims denials and appeals processing required Prior experience with revenue cycle processes in a hospital or physician office setting required Strong knowledge of payer guidelines and medical billing practices Certified Revenue Cycle Specialist (CRCS) - AAHAM preferred
- ...Reviewing incoming post-service appeals for insurance carriers, the full-time Appeals Coordinator will ensure all necessary documentation is received and appropriately assigned to subject matter experts while working remotely. Key responsibilities Conduct comprehensive...SuggestedFull timeRemote work
- ...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...SuggestedFull timeRemote work
- ...Managing the oversight of appeals investigations, the full-time Senior Coordinator of Appeals will coach and mentor new staff, ensure compliance with federal and state regulations, and handle escalated cases in a fully remote environment. Key responsibilities Oversee...SuggestedFull timeWork experience placementRemote work
- ...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...SuggestedContract workApprenticeshipLocal areaRemote work
$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...SuggestedHourly payPermanent employmentTemporary workWork experience placementWork at officeRemote workShift work$20.62 - $30.93 per hour
...Denials & Appeals Coordinator At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity...Full timeWork at office- ...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...
$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...Contract workRemote work$17 - $17.99 per hour
...healthcare administrative professional with a solid background in managed care operations? We are seeking a dedicated Appeal & Grievance Intake Coordinator to join our Government Solutions team. In this business-critical role, you will serve as the initial point of...Hourly payPermanent employmentTemporary workWork experience placementWork at officeRemote workShift work- ...Job Description A-Line Staffing is hiring a Grievance & Appeals Coordinator in the Natomas or Woodland Hills, CA area. This is Full-Time 40 hours per week with a Major Healthcare Company! Job Title: Grievance & Appeals Coordinator I Compensation:...Bi-weekly payFull timeContract workWork at officeLocal areaImmediate startRemote workMonday to Friday
- ...Appeal & Grievance Intake Coordinator Are you a highly organized healthcare administrative professional with a solid background in managed care operations? We are seeking a dedicated Appeal & Grievance Intake Coordinator to join our Government Solutions team. In this...
$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...Hourly payMinimum wageFull timeContract workPart timeWork experience placementWork at officeLocal areaRemote workShift workWeekend work$23.22 - $34.84 per hour
...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...Full timeWork at officeLocal areaShift 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: 1...Contract workRemote work
- ...Appeals Coordinator 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...
$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$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...Remote jobHourly payFull time$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: $22.00 -...Contract workWork at officeLocal areaImmediate startRemote work$56.97k - $84.75k
...From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission screening for patients in a bed for medical... ...stay, lack of medical necessity criteria, as well as denials/appeals and issuing of letters to patients. Provide Physician,...Full timeWork at officeLocal areaWork from homeMonday to Friday- ...Scion Health - - Responsibilities: Manage denial prevention and coordination with CAAT; Monitor concurrent review processes for continued stay authorizations; Coordinate with case management and Centralized Business Office teams; Analyze denial trends and prepare reports...Full timeWork at office
- ...Scion Health - - Responsibilities: Serve as operational driver for denial management and coordination within CAAT; Monitor concurrent review processes for continued stay authorizations; Track denial activity, trends, and reporting for facilities and leadership; Coordinate...Full timeWork at office
- Scion Health - - Responsibilities: Coordinate denial management with CAAT and other teams; Monitor concurrent review processes for continued stay authorizations; Track denial trends and produce reports; Communicate authorization outcomes and follow up; Maintain knowledge...Full time
$20 per hour
...staffing to obtain information for client reviews. Maintain daily UR database accurately. Perform Act 106 reviews and follow up appeals. Track all county referrals for documentation of admission calls. Maintain and participate in chart reviews to ensure proper...Full timeWork at officeLocal areaFlexible hours$24 - $28 per hour
...Chelmsford Oral Surgery - Chelmsford is seeking an Insurance Coordinator to join our busy specialty practice. As an Insurance Coordinator... ...and via mail. * Follow up on outstanding insurance claims, appeals, and denials. * Maintain up-to-date knowledge of dental...Full timeTemporary workWork at officeWork from home$40k - $44k
Position Title: Area Coordinator. Department: Residence Life. Classification: Exempt. FTE: 1.0. Work Schedule: Monday - Friday, 8:0... ...procedures. * Serve as a hearing officer, adjudicate cases, and hear appeals as assigned. * College Contributions. * Be front facing...Full timeLive inWork at officeImmediate startMonday to FridayFlexible hoursShift workAfternoon shift$21.3 - $23.96 per hour
.... Let’s be better together. Position 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 for the commercial member...Hourly payFull timeWork at officeRemote workAfternoon shift- ...Wellness resources About the Role: MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented Grievance and Appeals Coordinator to join their dynamic healthcare team. In this critical role, you'll serve as a key advocate in ensuring member concerns are...Work from homeFlexible hours
- ...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 a timely and accurate manner for denials and...Full time
- ...operating margin. We operate across Medicare Advantage, Medicaid, Commercial, ASO, and ACA lines of business. As an Appeals & Grievances (A&G) Coordinator, you will help support the intake, review, and resolution of member and provider appeals and grievances while...
- ...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...
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