Appeals & Grievances Specialist (Medicaid/Medicare)

A leading healthcare provider is seeking a skilled individual to provide support for claims activities, focusing on resolving member and provider complaints. The ideal candidate will have at least 2 years of managed care experience and health claims processing expertise. Responsibilities include facilitating research and resolution of appeals and grievances, reviewing medical records, and ensuring compliance with regulatory timelines. A competitive compensation package is offered, based on experience and location. #J-18808-Ljbffr