Grievance and Appeals Specialist

Job is Expired

Location: Remote

Compensation: Hourly

Reviewed: Thu, Jun 12, 2025

Job Category: Human Resources

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A company is looking for a Grievance & Appeals Specialist II.

Key Responsibilities

Prepare and track appeals for clinical review
Review and validate submitted appeals daily
Document outcomes of claim appeals and maintain records

Required Qualifications

High school diploma or equivalent required
Associates Degree or equivalent relevant work experience preferred
Minimum of two (2) years of healthcare customer service, claims, compliance, or related experience required

COMPLETE JOB DESCRIPTION

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Job is Expired

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