Health Plan Grievance Coordinator
Company: VirtualVocations
Location: Wichita
Posted on: September 21, 2024
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Job Description:
A company is looking for a Health Plan Grievance and Appeals
Coordinator.
Key Responsibilities
Handle member and provider grievances, standard appeals, and claim
disputes
Maintain case files and ensure compliance with regulatory
timelines
Collaborate with internal departments to facilitate timely
responses and inquiries
Required Qualifications
High school diploma/GED or equivalent working knowledge
Two years of experience in a healthcare-related field or project
management
Knowledge of AHCCCS, HCG, and CMS regulations
Proficiency in MS Word, Excel, and Microsoft Office Suite
Familiarity with medical terminology and claims processing
guidelines
Keywords: VirtualVocations, Wichita , Health Plan Grievance Coordinator, Healthcare , Wichita, Kansas
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