Job Summary
A staffing agency is in need of a Telecommute Appeals and Grievance Coordinator.
Candidates will be responsible for the following:
- Being responsible for the management, coordination and resolution of member and provider complaints, grievances, and appeals
- Ensuring compliance with state and federal regulatory requirements
- Acting as the primary investigator and contact person for the member and provider
Must meet the following requirements for consideration:
- 1+ years of Health Plan Appeals/Grievance experience
- Familiarity with computer and Windows PC applications
- Must have strong technical skills
- Excellent verbal and written communication skills
- Ability to remain focused and productive each day though tasks may be repetitive
- High school diploma or equivalent
