Grievance Appeals Coordinator
Company: VirtualVocations
Location: Spring
Posted on: May 4, 2025
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Job Description:
A company is looking for a Grievance & Appeals Coordinator
I.
Key Responsibilities
Analyze and resolve verbal and written claims and authorization
appeals from providers
Prepare response letters for member and provider 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
Experience with data entry and document management
Familiarity with HEDIS production functions is a plus
Knowledge of pay-for-performance programs
Keywords: VirtualVocations, Conroe , Grievance Appeals Coordinator, Other , Spring, Texas
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