Remote Appeal Coordinator

Job Summary

Working remotely on a full-time hourly basis, the Remote Appeal & Grievance Intake Coordinator will manage the intake process for appeals and grievances, ensuring compliance with regulations and timely resolution of issues.

Key responsibilities

• Oversee the intake and processing of appeals and grievances from members
• Ensure compliance with regulatory requirements and internal policies
• Collaborate with various departments to facilitate timely resolutions

Required qualifications

• High school diploma or equivalent; relevant experience may substitute for education
• Experience in healthcare or insurance-related fields preferred
• Familiarity with regulatory guidelines related to appeals and grievances
• Proficiency in using case management systems and software
• Strong organizational skills and ability to manage multiple cases simultaneously