Medicare Grievances Coordinator
virtual vocationsNew York, NY
Medicare Grievances Coordinator
virtual vocationsNew York, NYSenior L5
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsServices for the Elderly and Persons with DisabilitiesHome Health Care Services
APPLY NOWTracking and managing member grievances, appeals, and IRE requests, the full-time remote Medicare Grievances Coordinator will ensure efficient resolution according to regulatory timeframes and compose professional correspondence for members.
Key responsibilities:
Investigate and respond to member complaints and grievances, and provider appeals in writing
Utilize internal and external contacts to facilitate the grievance process effectively
Organize tasks to comply with regulatory requirements and deadlinesRequired qualificationsAssociate degree or equivalent professional work experience
1 year of experience in a health care environment
Preferred background in medical claims and/or customer service
Familiarity with ICD-10, HCPCS, and CPT4 coding and medical terminology
Experience with Medicare and SNP preferred
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Level
Senior L5
Location
New York, NY
Occupation
Patient Representatives
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
2 days ago