- Conduent (East Hartford, CT)
- …of a culture where individuality is noticed and valued every day. ** Appeals Coordinator - Customer Experience Associate IV** **Summary:** As an ** ... Appeals Coordinator - Customer Experience ** analyze and resolve verbal and written appeals from consumers. Respond to requests for information from… more
- Trinity Health (Columbus, OH)
- …combination of education and experience . + Experience : Three years of customer service experience or appeals and grievance experience , preferably ... financial analysis, audit, provider relations and more. **Position Purpose:** The Appeals and Grievance Coordinator is responsible for the processing and… more
- CVS Health (Oklahoma City, OK)
- …may require coordination of responses from multiple business units. Ensure timely, customer focused response to appeals , complaints and grievance. Identify ... drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience . **Preferred Qualifications** -… more
- State of Colorado (Sterling, CO)
- CDOC - Part Time: Reimagine Unit Program Coordinator (Sterling) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4960589) Apply CDOC - Part ... Time: Reimagine Unit Program Coordinator (Sterling) Salary $27.74 - $44.39 Hourly Location Sterling,...to support state government and the citizens of Colorado. Customer service is a key component for every position… more
- University of Washington (Seattle, WA)
- …documentation, including training materials and standard operating procedures. * Demonstrated experience working with a customer relationship management system ... group. Transportation Services has an outstanding opportunity for a **Program Coordinator , Technology** . Under the general supervision of the S&A Manager,… more
- Guthrie (Sayre, PA)
- …tasks independently while contributing to the team environment. Strong organizational and customer services skills are a must. Previous experience in performing ... well as identifies, analyzes and takes the necessary action to submit complex appeals to insurance payers. Reviews all medical chart and account documentation in… more
- State of Colorado (Denver, CO)
- Driver License Staff Coordinator - Remote Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4959511) Apply Driver License Staff Coordinator - ... of the department is to empower businesses and individuals through quality customer service, innovation, and collaboration. We celebrate diversity and support an… more
- Centene Corporation (Baton Rouge, LA)
- …(LCSW, LPC, LMFT, LAC, etc.) and have at least 2 years of clinical experience . Quality/auditing experience is preferred. This QIC will work both independently ... tools is a must - Word, Excel, Teams, etc. and PowerBI experience highly preferred. **Position Purpose:** Analyze, develop and monitor clinical QI activities… more
- Centene Corporation (Tacoma, WA)
- …develop and monitor clinical QI activities to ensure compliance with customer expectations and lead clinical quality initiatives. Review clinical information for ... appeals to determine medical necessity of services, prepare reviews...as assigned + Complies with all policies and standards **Education/ Experience :** Associate's Degree in Nursing or other related field… more
- Humana (Louisville, KY)
- …Bachelor's Degree in Business or a related field + Prior member service or customer service telephonic experience desired **Work at Home Requirements** To ensure ... a commutable distance to the in office location.** The **UM Administration Coordinator 2** performs in a support role providing clerical fulfillment for medical… more
- Roper St. Francis (Charleston, SC)
- … in the legal field, customer service or healthcare preferred. Prior experience working with grievances and appeals strongly preferred. Knowledge of RSFH ... required. Paralegal certificate preferred. ** Experience :** Three years of work experience in healthcare or customer service field required. Demonstrated … more
- Robert Half Office Team (Covina, CA)
- …organizations in Covina is looking for a dedicated and detail-oriented Authorizations Coordinator to join its team. In this role the Authorizations Coordinator ... to expedite patient access to necessary services. * Provide exceptional customer service by addressing inquiries professionally and efficiently. * Collaborate with… more
- American Friends of The Hebrew University (New York, NY)
- Marketing Coordinator American Friends of The Hebrew University (AFHU) is a national, not-for-profit organization that provides programs, events, and fundraising ... objective We are seeking an intelligent, highly motivated, and adaptable Marketing Coordinator to join AFHU's Marketing & Communications team. In this role, you… more
- Squirrel Hill Health Center (Pittsburgh, PA)
- …is a Federally Qualified Health Center (FQHC), seeking a dedicated Clinical Support Coordinator to join our team. The ideal candidate will ensure that healthcare ... insurance companies to streamline the authorization process. The Clinical Support Coordinator will assist SHHC Providers in managing and maintaining electronic or… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... of potential denials and respond appropriately; ie facilitate Physician to Physician appeals when appropriate and assist with construction of appeal letters. +… more
- University of Rochester (Rochester, NY)
- …factors including, but not limited to, market data, education, experience , qualifications, expertise of the individual, and internal equity considerations._ ... **Responsibilities:** The Revenue Cycle Coordinator IV is responsible for monitoring, reviewing and resolving...initiate corrected claim submission accordingly + Create and submit appeals for denials + Communicate with the department for… more
- Cardinal Health (Charleston, WV)
- …Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. Personalized ... manner **Qualifications** + High School diploma or equivalent, required + 3-6 years customer service experience , preferred + Experience conducting and… more
- Highmark Health (Dover, DE)
- …accreditation and regulatory requirements. Integrates performance improvement principles and customer service principles into all aspects of job responsibilities. + ... contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials/ appeals and retrospective payer audit denials. Collaboratively formulates plans… more
- Trinity Health (Malta, NY)
- …+ Maintain electronic medical record data + Perform payer audits and prepare appeals + Handle customer service calls with patients and referral sources ... mail, handling faxes. Ideal candidate should have strong organizational skills, experience with Microsoft Office applications, and ability to work independently and… more
- Sutter Health (San Francisco, CA)
- …payers as necessary to gather additional information and convey approvals, denials or appeals . + Provides excellent customer service by listening to provider, ... provide back up support as needed. **EDUCATION:** HS Diploma or GED **TYPICAL EXPERIENCE :** 1 year recent relevant experience . **SKILLS AND KNOWLEDGE:** Medical… more