Medicaid 申诉协调员

Medicaid Appeals Coordinator needs 2+ years of grievance or appeals experience
Medicaid Appeals Coordinator requires:

• College degree (minimum of Associates) or equivalent work experience

• 2+ years of grievance or appeals experience

• Ability to effectively relate to a wide range of individuals from a diverse population.

• Excellent customer service skills

• Previous experience demonstrating problem-solving skills.

• Strong organizational and communication skills, oral and written.

• Working knowledge of Eligibility rules and processes and a willingness to gain an understanding of other operational processes

• Ability to work independently.

Medicaid Appeals Coordinator duties:

• Demonstrate strong understanding of Medicaid, CHIP and the Affordable Care Act

• Provide detail documentation regarding the outcome and action of the review.

• Send appropriate communication to client identifying outcome of review.

• Maintain a copy of all outgoing letters in the designated folder

• Work with consumer and other organizations to resolve issues timely, accurately and professionally.

• Conduct daily monitoring and tracking of all incoming work to ensure SLAs are met. .

Originally posted on Himalayas