Appeal and Grievance Coordinator Reviewer-remote
Apolis
Appeal & Grievance Coordinator Reviewer I We are seeking an Appeal & Grievance Coordinator Reviewer I to review and research medical appeals and grievances, analyze claims and medical records, and ensure timely resolution in compliance with HIPAA, CMS, and regulatory guidelines. The ideal candidate will have experience with Appeals & Grievances, healthcare claims, medical documentation, and medical terminology, along with proficiency in Salesforce and GuidingCare for case management and documentation. Preferred Skills: Appeals & Grievances Healthcare claims processing Salesforce & GuidingCare Medical documentation & medical records review Medical terminology HIPAA/CMS compliance Strong analytical, communication, and problem-solving skills Experience working with multiple healthcare systems and Microsoft Office
Vacancy posted 3 days ago
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