Grievance and Appeals Coordinator
Company: VirtualVocations
Location: Clarksville
Posted on: March 7, 2025
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Job Description:
A company is looking for a Grievance & Appeals Coordinator II to
analyze and resolve claims and authorization grievances and appeals
from providers and members.
Key Responsibilities
Review and process member and provider grievances and appeals in
compliance with regulations and policies
Collaborate with subject matter experts to obtain clinical opinions
on complex cases
Lead the Appeals and Grievance Committee while serving as a subject
matter expert in grievances and appeals
Required Qualifications
Bachelor's degree in a related field or equivalent experience
2+ years of experience in claims, contracting, or a related field
within a managed care environment
Keywords: VirtualVocations, Clarksville , Grievance and Appeals Coordinator, Other , Clarksville, Tennessee
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