Appeals Coordinator, Geisinger Health Plan (east Coast Resident / Eastern Standard Time Zone)
Geisinger Health
Remote, Pennsylvania, United States
Fully remote
Appeals and grievance process administration
Regulatory compliance with cms and ncqa
Member and provider communication
Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities
Job Summary
Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.
We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
Matching Summary
Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
Skills & Requirements
Must-have
Appeals and grievance process administration
Regulatory compliance with CMS and NCQA
Member and provider communication
Data documentation and tracking
Ability to travel as required
Nice-to-have
Multitasking skills
Working independently
Collaborative and collegial atmosphere
Commitment to kindness and excellence
Key Requirements
High School Diploma or Equivalent (GED)
Minimum of 5 years relevant experience
Knowledge of Department of Labor, Health, Insurance regulations
Experience with appeals and grievance regulatory guidelines