Grievance and Appeals Coordinator - San Jose California

Company: VirtualVocations
Location: San Jose, California
Posted On: 01/27/2025

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
Maintain files on individual appeals and grievances

Required Qualifications

High school diploma or equivalent; Associate's degree preferred
2+ years of experience in grievance or appeals, claims, or related managed care
Ability to perform your work anywhere that has a reliable internet connection More...

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