Appeals & Grievances Coordinator
Brigham and Women(1 month ago)
About this role
This role supports Mass General Brigham Health Plan by overseeing member and provider appeals and grievances across Commercial, Medicaid, and Medicare products. The position focuses on ensuring cases are documented, tracked, and prepared for internal and external review while interfacing with stakeholders and supporting plan quality and compliance.
Required Skills
- Appeals Management
- Grievance Handling
- Case Tracking
- Documentation
- Reporting
- Communication
- Customer Service
- Claims Resolution
- Provider Relations
- Time Management
Qualifications
- Bachelor's Degree Preferred
About Brigham and Women
brighamandwomens.orgBrigham and Women’s Hospital is one of the top hospitals in America with more than 790 beds, and a premier teaching hospital of Harvard Medical School. Learn more.
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