Appeals and Grievances Coordinator

Job Summary

A company is looking for an Appeals & Grievances Coordinator-2.

Key Responsibilities

• Assign new verbal and written appeals and grievances to Appeals and Grievances Analyst
• Support A&G Analyst in timely completion of Appeals and Grievances
• Adhere to all regulatory, internal, and compliance timeliness expectations

Qualifications

• Required: Associate's Degree or equivalent experience in health care, conflict resolution, or related field
• Required: 1-2 years of member services representative/customer service experience in health care
• Preferred: 1-2 years' Appeals and Grievance experience in assigning and handling appeals and grievances
• Knowledge of basic medical terminology
• Ability to manage multiple priorities in a fast-paced environment