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Appeals and Grievances Coordinator

Company: VirtualVocations
Location: Norwalk
Posted on: May 3, 2025

Job Description:

A company is looking for a Coordinator, Appeals & Grievances.
Key Responsibilities

Receive and process inbound appeals requests through various communication channels
Collect and organize information to expedite the appeal process and generate acknowledgment letters
Research and refer delegated appeals to clinical teams while meeting productivity and quality standards

Required Qualifications and Experience

Minimum of 2 years of experience in processing appeals preferred
At least 3 years of experience in a health plan, managed care organization, or third-party administrator preferred
Understanding of the appeals process and utilization management
Working knowledge of regulatory and accreditation requirements
Technical capability for high-speed internet and direct connection to the home router

Keywords: VirtualVocations, Camarillo , Appeals and Grievances Coordinator, Other , Norwalk, California

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