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Sentara Health is currently seeking a Full-Time Appeals
Coordinator in the Glen Allen or Richmond, VA area.
Position is hybrid remote and may require 2-3 days a week in the office.
Weekend rotation may be required for one Saturday per month.
The Appeals Coordinator is responsible for the investigation and documentation of member appeals and grievances in compliance with State law, applicable rules and regulations and provider and group agreements. Works closely with the Plan's Medical Directors who are responsible for all decision regarding clinical appeals/ grievances and the Appeals Manager who is responsible for non-clinical appeals and grievances.
Job Requirements
Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans, and plans serving Medicare and Medicaid enrollees.
With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.
Benefits: Sentara offers an attractive array of full-time benefits including Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B with matching funds, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more.
Along with competitive salary we also offer the following benefits:
Adoption, Infertility, and Surrogacy Reimbursement
Educational Assistance Programs, including Tuition Assistance
Emergency Back-Up Care
Financial Wellness Tools, including extra student debt payments on your student loans.
Medical, Dental, and Vision Benefits
Paid Annual Leave (PAL)
Paid Parental Leave
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
keywords: appeals, grievances, coordinator, managed care, health plan
Full Time
$43k-52k (estimate)
01/26/2023
06/01/2024
The job skills required for APPEALS COORDINATOR include Managed Care, Microsoft Word, etc. Having related job skills and expertise will give you an advantage when applying to be an APPEALS COORDINATOR. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by APPEALS COORDINATOR. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for APPEALS COORDINATOR positions, which can be used as a reference in future career path planning. As an APPEALS COORDINATOR, it can be promoted into senior positions as an Appeal Resolution Senior Specialist that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary APPEALS COORDINATOR. You can explore the career advancement for an APPEALS COORDINATOR below and select your interested title to get hiring information.