Job Summary
A healthcare company has a current position open for a Telecommute Dental Fair Hearing Coordinator.
Core Responsibilities of this position include:
- Engaging members as needed to facilitate Fair Hearing request
- Retrieving and processing fair hearing requests in timely manner
- Preparing evidence packet and coordinate review of the evidence packet
Qualifications for this position include:
- Attend Fair Hearings
- Ability to handle confidential aspects of the position
- Proficiency in working with MS Word, Excel, SharePoint and Outlook
- 2 years of experience with Texas Managed care programs
- Knowledge of Texas Medicaid and CHIP members' right to appeal and request a Fair hearing for adverse determinations
