Appeals Dismissal Specialist

Job Summary

A company is looking for an Appeals and Grievances Dismissal Specialist.

Key Responsibilities

• Independently manage a caseload through the complete case lifecycle, including outreach and dismissal
• Analyze appeals and grievances for eligibility based on Medicaid and Medicare guidelines
• Draft and issue clear and compliant outreach and dismissal letters

Required Qualifications

• High School Diploma or GED from an accredited institution
• Work experience in appeals and grievances or a healthcare environment
• Experience handling complex situations and/or projects
• Microsoft Office Suite application work experience
• Customer service experience, including resolving escalated complaints