Temporary Coordinator remote - Appeals & Grievances - MediGold Health Plan
Loyola Medicine(13 days ago)
About this role
The Appeals and Grievance Coordinator is responsible for processing and resolving appeals, grievances, and disputes from members and providers within a Medicare Advantage insurance plan. The role involves document management, investigation, compliance, and reporting related to federal regulations, specifically CMS guidelines.
Required Skills
- Regulatory Compliance
- CMS Guidelines
- Claims Processing
- Investigation
- Customer Service
- Medicare
- Medical Records
- Auditing
- Federal Law
- Healthcare
Qualifications
- Bachelor’s Degree
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