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Appeals and Grievances Coordinator

Company: VirtualVocations
Location: Mesquite
Posted on: November 20, 2023

Job Description:

A company is looking for a Coordinator of Appeals and Grievances.
Key Responsibilities:

Receive and initiate appeal and grievance requests through various channels
Collect and organize information to expedite the processing of appeals and grievances
Research and resolve member and provider appeals and grievances

Required Qualifications:

Minimum 2 years of experience in processing appeals and grievances
Minimum 2 years of experience in a Medicare Advantage plan
Understanding of appeals process and utilization management
Working knowledge of regulatory and accreditation requirements
Bachelor's Degree and/or certified coder preferred

Keywords: VirtualVocations, Mesquite , Appeals and Grievances Coordinator, Other , Mesquite, Texas

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