Remote Grievance Appeals Analyst I

Location: California

Compensation: To Be Discussed

Staff Reviewed: Fri, Apr 30, 2021

This job expires in: 18 days

Job Category: Insurance

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Entry Level, Experienced

Job Summary

A health insurance company is searching for a person to fill their position for a Remote Grievance Appeals Analyst I.

Must be able to:

  • Utilize guidelines and review tools to conduct extensive research and analyze the grievance and appeal issue(s)
  • Review, analyze and process non-complex grievances and appeals
  • Analyze and render determinations on assigned non-complex grievance and appeal issues

Applicants must meet the following qualifications:

  • 3 to 5 years experience working in grievances and appeals, claims, or customer service
  • Requires a High school diploma or GED
  • Familiarity with medical coding and medical terminology
  • Demonstrated business writing proficiency
  • Understanding of provider networks

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