Centene
Grievance & Appeals Coordinator
This job is now closed
Job Description
- Req#: 1629207
Employer Industry: Healthcare
Why consider this job opportunity:
- Salary up to $32.98 per hour
- Comprehensive benefits package including health insurance, 401K, stock purchase plans, and tuition reimbursement
- Flexible work arrangements with remote, hybrid, field, or office schedules
- Paid time off plus holidays
- Opportunity to make a difference for 28 million members through impactful work
What to Expect (Job Responsibilities):
- Analyze and resolve verbal and written claims and authorization appeals from providers
- Gather, analyze, and report member and provider complaints, grievances, and appeals
- Prepare response letters for complaints, grievances, and appeals
- Maintain files on individual appeals and grievances
- Support pay-for-performance programs, including data entry, tracking, and organizing information
What is Required (Qualifications):
- High school diploma or equivalent; Associate’s degree preferred
- Minimum 2+ years of experience in grievances and appeals, claims, or managed care
- Healthcare call center experience strongly preferred
- Ability to manage large volumes of documents, including copying, faxing, and scanning
- Compliance with all policies and standards
How to Stand Out (Preferred Qualifications):
- Experience in HEDIS production functions including data entry and claims research
- Previous coordination experience with Grievance and Appeals Committees
#Healthcare #ClaimsManagement #RemoteWork #CareerOpportunity #DiversityAndInclusion
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Centene Corporation is a publicly traded managed care company based in St.
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