Job Summary
A company is looking for an Appeals & Disputes Coordinator.
Key Responsibilities
- Manage and process appeals to ensure compliance with state and federal regulations
- Review documentation and case files to determine the validity of adverse actions
- Interview professionals, paraprofessionals, and stakeholders to gather case details
Required Qualifications
- High School diploma or equivalent
- At least 1 year of high-volume case management experience
- Experience in preparing administrative decisions
- Ability to maintain case records and documentation in compliance with standards
- Familiarity with state and federal regulations related to appeals
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