Complaint and Appeals Coordinator
VirtualVocationsIndependence, Missouri, United Statesjob_description.job_card.30_days_ago
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A company is looking for a Coordinator, Complaint & Appeals (Remote).
Key Responsibilities
Reviews and processes appeals and grievances filed by patients
Conducts internal audits and addresses compliance issues related to Complaint and Appeals policies
Prepares educational materials and coaches junior colleagues on best practices
Required Qualifications
1 year of experience in HMO and Traditional claim platforms, patient management, or compliance analysis
High School diploma or equivalent
Experience with Medicare and claims processing is preferred
Ability to read and research benefit language in Summary Plan Descriptions or Certificates of Coverage
Experience in conducting research and analysis of claims processing is a plus
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Complaint Coordinator • Independence, Missouri, United States
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