Grievance and Appeals Coordinator

job
  • The Judge Group
Job Summary
Location
Orange ,CA 92613
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
23 Jan 2025
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Job Description

The Judge Group is currently seeking Grievance and Appeals Coordinators for a top tier managed care company in Orange, CA!


Below you can find a basic overview of the position. For immediate consideration, please apply to the link on this posting. For questions or if you would like to know more, please don't hesitate to reach out to Jacob at


Job Overview:


  • Under general supervision, the Program Assistant will assist with specialized services relevant to the Grievance and Appeals Resolution Services (GARS) department.


  • The incumbent will work independently, exercising discretion and judgment and may assist in coordinating a function for the program assigned.


  • The incumbent will be responsible for monitoring the GARS member and provider mailbox, fax, mail and processing appeals and grievances for assignment to key staff within the required timeframe.


Qualifications:


- High School diploma or equivalent required

-1 year of experience in appeal and grievance guidelines or Medi-Cal/Medicaid or Medicare programs required


Again, if you would like to be considered for this opportunity, please feel free to apply directly to this positing. For other questions or concerns, feel free to reach out to Jacob at


Thank You,

Jacob

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