Grievance and Appeals Coordinator
Company: VirtualVocations
Location: Long Beach
Posted on: November 8, 2024
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Job Description:
A company is looking for a Grievance & Appeals Coordinator I to
analyze and resolve claims and authorization appeals from providers
and members.
Key Responsibilities
Gather, analyze, and report member and provider complaints,
grievances, and appeals
Prepare response letters for complaints, grievances, and
appeals
Manage large volumes of documents including copying, faxing, and
scanning incoming mail
Required Qualifications
High school diploma or equivalent; Associate's degree preferred
2+ years of experience in grievance or appeals, claims, or related
managed care
Experience in customer service, utilization management, or building
authorizations
Keywords: VirtualVocations, Buena Park , Grievance and Appeals Coordinator, Other , Long Beach, California
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