Appeals and Grievances Auditor - Mesa Arizona

Company: VirtualVocations
Location: Mesa, Arizona
Posted On: 02/06/2025

A company is looking for an Appeals and Grievances QA Auditor.



Key Responsibilities

Review grievances and appeals for compliance with policies, procedures, and regulatory requirements
Identify and provide feedback on issues with casework, including data entry errors and untimely processing
Track audit findings and hold meetings to discuss trends and coaching opportunities with department leads


Required Qualifications

Bachelor's degree or equivalent business experience
Minimum of 5 years of experience in Appeals and Grievances, including experience with an appeals & grievances software platform
Prior experience in A&G Medicare is required More...

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