Grievances and Appeals Coordinator
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Job Summary
Focusing on the intake for Part C and D Pre-Service Appeals, the full-time remote Grievances and Appeals Coordinator will coordinate a team of Member Services Representatives to ensure member inquiries are addressed and appropriate service providers are engaged.
Key responsibilities
- Ensure member inquiries are addressed and refer members to appropriate service providers
- Administer policies for verifying member identity, membership status, and entitlement to services
- Maintain accurate membership databases and suggest new service offerings based on member feedback
Required qualifications
- 0-3 years of related experience in Grievances and Appeals
- High school diploma or equivalent experience required
- Comprehensive knowledge of grievance and appeals processes
- Basic technical skills for functional area and advanced Microsoft Office skills
- Ability to handle complex issues and provide leadership to a subordinate group
Complete Job Description
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