Vacancy Description
Our client, a Health Insurance company, is looking for a Grievance &Appeals Coordinator for their Remote location. Responsibilities:
+ Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines.
+ Contact customers to gather information and communicate disposition of case.
+ Conduct pertinent research in order to evaluate, respond to, and finalize case. Familiar with standard concepts, practices, and procedures for analyzing, interpreting data and applying contract and regulatory provisions. High School Diploma or GED required. Bachelor’s Degree in English, Communications or related field preferred.
+ Two (2) years customer service experience required.
+ Two (2) years health insurance experience and familiarity with health insurance state and federal regulations preferred. Strong project management skills preferred.
Req...
+ Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines.
+ Contact customers to gather information and communicate disposition of case.
+ Conduct pertinent research in order to evaluate, respond to, and finalize case. Familiar with standard concepts, practices, and procedures for analyzing, interpreting data and applying contract and regulatory provisions. High School Diploma or GED required. Bachelor’s Degree in English, Communications or related field preferred.
+ Two (2) years customer service experience required.
+ Two (2) years health insurance experience and familiarity with health insurance state and federal regulations preferred. Strong project management skills preferred.
Req...
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