Medicaid Appeals Coordinator

Medicaid Appeals Coordinator needs 2+ years of grievance or appeals experience
Medicaid Appeals Coordinator requires:

- College degree (minimum of Associates) or equivalent work experience

- 2+ years of grievance or appeals experience

- Ability to effectively relate to a wide range of individuals from a diverse population.

- Excellent customer service skills

- Previous experience demonstrating problem-solving skills.

- Strong organizational and communication skills, oral and written.

- Working knowledge of Eligibility rules and processes and a willingness to gain an understanding of other operational processes

- Ability to work independently.

Medicaid Appeals Coordinator duties:

- Demonstrate strong understanding of Medicaid, CHIP and the Affordable Care Act

- Provide detail documentation regarding the outcome and action of the review.

- Send appropriate communication to client identifying outcome of review.

- Maintain a copy of all outgoing letters in the designated folder

- Work with consumer and other organizations to resolve issues timely, accurately and professionally.

- Conduct daily monitoring and tracking of all incoming work to ensure SLAs are met. .

Originally posted on Himalayas