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Full-time Grievance and Appeals PAYS $21/HR MASON, OH

at Global Channel Management, Inc. in Ohio

Grievance and Appeals needs 3+ years’ experience
Grievance and Appeals requires:
• Customer Service/escalation experience
• Grievance and Appeals experience
• Experience with Medicaid/Medicare member correspondence
• Experience with managed vision care and/or insurance

Grievance and Appeals duties:
• Responsible for leading the resolution of member or provider complaints and grievances relative to quality of care, access to care, and benefit determination.
• Member and Providers Complaints/Grievances.
• Serves as a liaison between provider and member or member’s representative with regard to resolution of Member complaints.
• Conducts research and secures required information, including requesting member records, claims analysis, transaction/event documentation.
• Prioritizes and analyzes member and provider issues

Reference : Grievance and Appeals PAYS $21/HR MASON, OH jobs


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Published at 12-10-2024
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