California Grievance Coordinator

Job Summary

A company is looking for a Remote Grievance and Appeals Coordinator.

Key Responsibilities

• Gather, analyze, and report on member and provider complaints, grievances, and appeals
• Prepare response letters for complaints and maintain accurate files for appeals and grievances
• Coordinate Grievance and Appeals Committee activities and assist with data entry and reporting for pay-for-performance programs

Required Qualifications

• High school diploma or equivalent
• 2+ years of experience in grievance/appeals, claims, or related managed care
• Knowledge of healthcare terminology
• Associate's degree preferred
• Experience in healthcare call centers or administrative roles preferred