Grievance & Appeals Coordinator
VirtualVocationsWest Palm Beach, Florida, United Statesjob_description.job_card.1_day_ago
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A company is looking for a Grievance & Appeals Coordinator I.
Key Responsibilities
Analyze and resolve claims and authorization appeals from providers and formal grievances from members
Prepare response letters for complaints, grievances, and appeals
Maintain files on individual appeals and grievances and support pay-for-performance programs
Required Qualifications
High school diploma or equivalent; associate's degree preferred
2+ years of experience in grievance or appeals, claims, or managed care
Experience with data entry and document management
Familiarity with HEDIS production functions
Ability to work remotely and manage large volumes of documents
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Coordinator • West Palm Beach, Florida, United States
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