Managing the intake and distribution of member appeals and grievances, the full-time remote Member Appeals Coordinator will perform administrative functions, ensure data accuracy, and maintain organized record-keeping processes while collaborating with various departments. Key responsibilities: Accurately identify and enter appeals and grievances into the system, ensuring timely distribution to specialists Support data integrity for trend analysis and reporting while identifying trends for management review Assist in audits and create reports for the A&G Management team, including training for new staff as needed Required qualifications: Bachelor's degree in Health Care Administration or a related field, or equivalent experience Proficiency in Microsoft Office Applications and experience with healthcare management systems Minimum of 2 years of experience in a healthcare setting related to Appeals and Grievances Experience with data entry, trend analysis, and reporting in a health insurance context Familiarity with rules and regulations governing health insurance (Commercial, Medicaid, and Medicare)
Member Appeals Coordinator in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.