Appeals Coordinator
Virtual Vocations Inc
Detail-oriented and experienced, the full-time remote Appeals Coordinator II will manage and resolve appeals, grievances, and provider complaints while ensuring compliance with client, state, and regulatory requirements. Key Responsibilities Prepare and distribute case files for External Reviews and State Fair Hearings Research, investigate, and resolve provider appeals, grievances, and complaints Collaborate with leadership and clinical staff to resolve complex cases Required Qualifications Associate's Degree or equivalent combination of education and relevant experience Minimum of 3 years of experience in the healthcare industry Strong analytical and critical thinking abilities Excellent organization and time management skills Ability to manage multiple priorities and meet strict deadlines
Vacancy posted 23 hours ago
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