Erin Lewis

Medical Appeals and Grievance Coordinator HealthCare Support is actively seeking a  to Medical Appeals and Grievance Coordinator fill an opening in Phoenix, Arizona. Daily Responsibilities for Medical Appeals and Grievance Coordinator:

• Perform analysis and research of requests received for medical grievances, appeals for final resolution or referral to the Clinical Medical Appeals and Grievance (MAG) Staff.
• Maintains advanced end user knowledge of multiple systems including vendor medical management and claims systems
• Conduct research to resolve requests received from members, providers and other Blue Plans in accordance with State, Federal, BlueCard and URAC timeliness standards.
• Monday to Friday 8AM - 5PM

Required Qualifications for Medical Appeals and Grievance Coordinator:

• 1 years of experience in claims processing, medical/ pharmacy precertification, appeals and grievances coordination or  other applicable related work experience
• High-School Diploma or higher

Benefits for Medical Appeals and Grievance Coordinator:

• Health Insurance
• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (advocacy) Program

Pay Details: $20.14 - $20.14/ Hour Interested in Being Considered? If you are interested in applying to this position, please click Apply Now for immediate consideration. For additional questions, you may contact us at [email protected]. Please include your phone number, Job Title, and location and our recruiters will reach out. Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.