RockyMountRecruiter Since 2001
the smart solution for Rocky Mount jobs

Grievance Appeals Coordinator I

Company: Centene
Location: Rocky Mount
Posted on: November 9, 2019

Job Description:

Grievance & Appeals Coordinator I Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints, grievances and appeals Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information Assist with HEDIS production functions including data entry, calls to provider's offices, and claims research. Manage large volumes of documents including copying, faxing and scanning incoming mail Education/Experience: High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals, claims or related managed care experience. Strong oral, written, and problem solving skills. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Medical Management USA-North Carolina-Rocky Mount Envolve Vision Full-time

Keywords: Centene, Rocky Mount , Grievance Appeals Coordinator I, Other , Rocky Mount, North Carolina

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


CDL-A Company Team OTR Drivers - Great Pay!
Description: CDL-A Company Team OTR Drivers Great Pay If you re looking for a company with a competitive pay package, monthly bonus, paid holidays and much more, consider Guaranteed
Company: Guaranteed Transport Service
Location: Raleigh
Posted on: 11/21/2019

Sr. Project Lead
Description: Job Location: United States -: -North Carolina : Cary -Role Value Proposition:We are looking for a Senior Project Lead to join our Retirement and Income Solutions team. The incumbent will set high standards (more...)
Company: Metlife Tech Jobs
Location: Raleigh
Posted on: 11/21/2019

Clin Nurse, Stf Res - Opt 7 - (Staffing Resources - Raleigh Campus) - Supplemental - 53.27/hr
Description: About WakeMed: br Serving the community since 1961, WakeMed Health Hospitals is a nationally recognized, private, not-for-profit health care organization founded and based in Raleigh, N.C. The largest (more...)
Company: Wakemed
Location: Raleigh
Posted on: 11/21/2019


Project Executive
Description: Raleigh, NCDo you want to be part of a growing, well established, family friendly company Samet Corp, headquartered in Greensboro, NC is looking for an experienced, hard working, dynamic leader to join (more...)
Company: Samet Corporation
Location: Raleigh
Posted on: 11/21/2019

Clinical Nurse - 5A Medical Intermediate Care - Full-Time; Days, Mon-Fri, 7a-7p; Weekends as Needed
Description: About WakeMed: br Serving the community since 1961, WakeMed Health Hospitals is a nationally recognized, private, not-for-profit health care organization founded and based in Raleigh, N.C. The largest (more...)
Company: Wakemed
Location: Raleigh
Posted on: 11/21/2019

Cleaners
Description: Part-Time Evening
Company: Quality Janitor Service
Location: Raleigh
Posted on: 11/21/2019

New Home Sales Consultant
Description: Description: 13 McKee Homes has an amazing opportunity for you We offer multiple ways of earning income including base salary with commission, as well as commission-only as a part of our competitive (more...)
Company: McKee Homes
Location: Raleigh
Posted on: 11/21/2019

Clinical Nurse - 6C Surgery & Trauma (Raleigh); FT Weekend Option; Weekend Days 7a-7p, Every Weekend
Description: About WakeMed: br Serving the community since 1961, WakeMed Health Hospitals is a nationally recognized, private, not-for-profit health care organization founded and based in Raleigh, N.C. The largest (more...)
Company: Wakemed
Location: Raleigh
Posted on: 11/21/2019

Clinical Nurse - Special Care Nursery- North- Full Time, Part Time and Supplemental Openings**
Description: About WakeMed: br WakeMed North Family Health Women's Hospital provides exceptional patient care to the residents in the growing north Raleigh, N.C., area. Between the women's hospital and outpatient (more...)
Company: Wakemed
Location: Raleigh
Posted on: 11/21/2019

Service Technician- Driver (CDL/Non-CDL)
Description: Want to talk with a Recruiter It's easy Text USS to 44844 We are looking for a Service Technician to operate a company service truck and drive to various locations to service/pump/clean portable restrooms (more...)
Company: United Site Services
Location: Raleigh
Posted on: 11/21/2019

Log In or Create An Account

Get the latest North Carolina jobs by following @recnetNC on Twitter!

Rocky Mount RSS job feeds