A company is looking for a Grievance & Appeals Coordinator I to analyze and resolve claims and authorization appeals. Key Responsibilities Gather, analyze, and report on member and provider complaints, grievances, and appeals Prepare response letters for complaints, grievances, and appeals from members and providers Maintain files on individual appeals and grievances and support pay-for-performance programs Required Qualifications High school diploma or equivalent; associate's degree preferred 2+ years of experience in grievance or appeals, claims, or related managed care Must reside in Arizona Claims and provider dispute experience preferred Experience with data entry and managing large volumes of documents
Coordinator • Saint Paul, Minnesota, United States