Complaint and Appeals Analyst

Job Summary

A company is looking for a Complaint and Appeals Analyst - Fully Remote.

Key Responsibilities

• Research and process grievances and appeals for Dual eligible members and providers
• Perform outreach to obtain additional information
• Interact with Medical Directors, Nurses, and Leadership

Required Qualifications

• 1 year of experience processing health insurance grievance and appeal cases
• High School Diploma or GED required
• 2+ years of experience with Medicare and/or Medicaid appeal and grievance preferred