Appeals Coordinator

Job Summary

A company is looking for an Appeals and Grievances Coordinator.

Key Responsibilities

• Manage the full appeals process, ensuring timely and effective resolutions
• Collaborate with internal teams to resolve issues and provide updates to members and providers
• Maintain accurate records of all appeals and grievance cases while adhering to regulatory guidelines

Required Qualifications

• High School Diploma or equivalent
• 2+ years of experience in appeals and grievances within the dental, vision, or insurance industry
• Proficiency in Microsoft Office Suite and experience with claims processing systems
• Must be flexible to work a Saturday shift if required
• Ability to maintain adequate internet service for remote work