Job Summary

A healthcare provider is in need of a Remote Grievance and Appeals Coordinator.

Candidates will be responsible for the following:

• Responding to all incoming phone calls
• Determining which claim disputes meet acceptable claim dispute criteria
• Entering all accepted appeals and claim disputes

Qualifications Include:

• Two years of work experience in health care related field
• High school diploma/GED or equivalent working knowledge
• Or an equivalent combination of education and experience
• Knowledge of AHCCCS, HCG and/or CMS regulations
• Knowledge of MS Word, Excel and Microsoft Office Suite required
• Knowledge of Medical terminology, claims processing guidelines, and CRM & IDX