Grievance Appeals Coordinator

Job Summary

A company is looking for a Grievance & Appeals Coordinator I.

Key Responsibilities

• Analyze and resolve claims and authorization appeals from providers and formal grievances from members
• Prepare response letters for member and provider complaints, grievances, and appeals
• Maintain files on individual appeals and grievances and support related administrative functions

Required Qualifications

• High school diploma or equivalent; associate's degree preferred
• 2+ years of experience in grievance or appeals, claims, or related managed care
• Familiarity with data entry and tracking of complaints and grievances
• Experience managing large volumes of documents
• Ability to work remotely while residing in Arizona