Telecommute Grievances and Appeals Coordinator

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Mon, Oct 14, 2019

This job expires in 27 days

Job Category: Healthcare

Telecommute Level: Majority

Travel Requirements: Possible Travel

Employer Type: Employer

Career Level: Experienced

Job Summary

A business services company is searching for a person to fill their position for a Telecommute Grievances and Appeals Coordinator.

Core Responsibilities Include:

  • Receiving inbound calls, faxes, emails and mail to initiate an appeal
  • Making outbound calls when necessary to obtain additional information
  • Collecting, organizing and tracking information

Skills and Requirements Include:

  • 2 years of experience minimum in processing appeals and grievances
  • 3 years of experience within a health plan, managed care organization or third-party administrator
  • Understanding of appeals process and utilization management
  • Working knowledge of regulatory and accreditation requirements