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Member Appeals & Grievance Analyst at BlueCross BlueShield of Tennessee - ApplyBlast

Member Appeals & Grievance Analyst

BlueCross BlueShield of Tennessee

2 months ago

3.7 on Glassdoor

Remote

Full Time

Medior

0 applicants

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About this role

The Member Appeals & Grievance Analyst reviews and processes appeals and grievances from members and providers, ensuring timely, accurate resolutions in line with CMS and Medicare guidelines. The role involves detailed case analysis, documentation, and communication of outcomes while maintaining regulatory compliance and supporting a positive member experience.

Responsibilities

Document and investigate appeal, grievance, or complaint substance
Notify involved parties of review outcomes and regulatory compliance
Provide excellent customer service to members, providers, and CMS

Skills

Qualifications

Associates degree

About BlueCross BlueShield of Tennessee

bcbst.com

Headquarters

Chattanooga, Tennessee, United States

Company Size

5001-10000 employees

Founded

1945

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Learn more about BlueCross BlueShield of Tennessee (BCBST) health insurance and the medical, dental and vision plans we offer for employers, individuals and families.