Coordinator, Appeals & Grievances
Evolent Specialty Services, Inc(7 days ago)
About this role
Evolent is seeking a Coordinator, Appeals and Grievances to serve as a point of contact for processing post determination reviews and appeals requests. The role involves reviewing appeal requests, conducting research, managing workload, and ensuring compliance with regulatory standards, all within a collaborative team focused on improving health outcomes.
Required Skills
- Claims Processing
- Regulatory Compliance
- Customer Service
- Attention to Detail
- Data Analysis
- Medical Records
- Communication
- Time Management
- Healthcare Knowledge
- Teamwork
About Evolent Specialty Services, Inc
evolent.comEvolent Health is a healthcare technology and services company focused on transforming the way healthcare is delivered and paid for. By leveraging their innovative platform, Evolent partners with health systems to improve patient outcomes, reduce costs, and streamline operations across diverse care settings. Their solutions include support for population health management, care delivery optimization, and value-based care models, all aimed at enhancing the provider and patient experience in the American healthcare system. Evolent is dedicated to simplifying healthcare complexities to create a more effective and efficient care environment.
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