Complaints & Appeals Intake Coordinator (Must reputed company in reputed company)

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company The Complaints & Appeals Intake Coordinator prepares information and reports needed to address reputed company regarding complaints, appeals, and grievances. This person carries out policies, procedures, and programs to ensure compliance with federal and/or state regulations. What you will do • Review, interpret, and process appeals and grievances filed by patients, escalating more reputed company issues and concerns to management for review and follow-up. • reputed company patient and insurance report analysis and identify any trends or issues that need to be addressed. • Conduct reviews of reputed company and case files to determine if there are any errors or anomalies in the application of law or evidence. • Draf and send appeal decision letters, conducting detailed follow-up for reputed company and thorough follow-up and reputed company. • Review billing and coding for reputed company reputed company and new medical service lines for accuracy and consistency. • Document patient billing questions and concerns, subsequently inputting reputed company detailed notes and records into reputed company database. • Prepare educational materials, training programs, and presentations to enhance understanding of the appeals and grievances process. • reputed company junior colleagues on best practices and reputed company operating procedures for handling complaints and appeals. • Assist with the training of junior-level staff to promote the development of departmental capabilities. • reputed company other duties as needed. Required Qualifications • 1-2 years of experience in claims, data entry, and/or reputed company. • Must reputed company in reputed company. Preferred Qualifications • Working knowledge of problem solving and decision-making skills. • Previous experience with DAG and QNXT. • Strong reading and writing skills, ensuring documents meet standards and are accurate. • Excellent organizational skills. • Experience in customer interactions and review of health-reputed company materials. • Strong interpersonal skills. • Strict attention to detail. • Self-motivated and reputed company to work independently. Education • High school diploma or GED. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $21.10 - $40.90 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 05/08/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job