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Appeals and Grievance Coordinator

Company: VirtualVocations
Location: Stone Mountain
Posted on: October 24, 2024

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, Smyrna , Appeals and Grievance Coordinator, Other , Stone Mountain, Georgia

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