Offer summary
Qualifications:
At least 1 year of healthcare experience, Experience in Grievance and Appeals processes, Strong writing and analytical skills, High School Diploma or GED, Proficient in Microsoft Office.Key responsabilities:
- Gather, analyze, and report grievances and appeals
- Prepare response letters for complaints
- Maintain files on appeals and grievances
- Support pay-for-performance programs
- Assist with HEDIS production functions