Appeals Dismissal Specialist

A company is looking for an Appeals and Grievances Dismissal Specialist.

Key Responsibilities

Independently manage a caseload through the complete case lifecycle, including outreach and dismissal

Analyze appeals and grievances for eligibility based on Medicaid and Medicare guidelines

Draft and issue clear and compliant outreach and dismissal letters

Required Qualifications

High School Diploma or GED from an accredited institution

Work experience in appeals and grievances or a healthcare environment

Experience handling complex situations and / or projects

Microsoft Office Suite application work experience

Customer service experience, including resolving escalated complaints