Appeals and Grievance Coordinator
Company: VirtualVocations
Location: Stone Mountain
Posted on: October 24, 2024
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Job Description:
A company is looking for an Appeals & Grievance Coordinator
responsible for processing member grievances and appeals.
Key Responsibilities
Accurately categorize and acknowledge member grievances and
appeals
Conduct non-biased investigations and prepare written
correspondence for resolutions
Maintain documentation and ensure compliance with processing
timeframes and guidelines
Required Qualifications
High school diploma or GED
Minimum of 3 years' experience in grievances and appeals, claims,
or customer service
Knowledge of Medi-Cal or Medicare Managed Care Plans
Bi-lingual (English/Spanish) preferred
No specific certificates or licenses required
Keywords: VirtualVocations, Redan , Appeals and Grievance Coordinator, Other , Stone Mountain, Georgia
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