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Remote Grievances and Appeals Representative

Job is Expired
Location: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming
Compensation: To Be Discussed
Staff Reviewed: Tue, Nov 15, 2022
Job Category: Healthcare
Weekly Hours: Full Time
Employer Type: Employer
Career Level: Experienced, Management
Education Level: Some College, Bachelors

Job Summary

A health insurance company has an open position for a Remote Grievances and Appeals Representative.

Candidates will be responsible for the following:

  • Investigating and resolving member and practitioner issues
  • Assisting members and providers to investigate and resolve grievances and appeals

Required Skills:

  • 1 - 3 years of inbound call center or related customer service experience
  • Strong data entry skills required with the ability to work across multiple software systems
  • Must have experience in the healthcare industry or medical field and have knowledge of medical terminology

COMPLETE JOB DESCRIPTION

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