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
