Job Summary

• The Appeals and Grievance (A&G) Coordinator is responsible for assisting with all operational aspects of the Appeals and Grievances assignment process for Point32Health.
• Responsibilities include processing daily mail, handling outgoing mail, distribution and classification of cases, gathering information from external vendors, and coordinating the request for medical records.
• The role requires a broad understanding of all Point32Health lines of business and benefit structures, as well as an understanding of regulatory requirements and timeframes.

Matching Summary

Salary

Base: $20.98 - $31.46; Bonus/Equity: Not specified; Benefits: Medical, dental, vision, retirement plans, paid time off, life and disability insurance, tuition program, well-being benefits

Skills & Requirements

Key Requirements

• Associate’s Degree or equivalent experience
• 1-2 years of member services representative/customer service experience in health care
• 1-2 years’ Appeals and Grievance experience
• Excellent organizational skills
• Excellent interpersonal/communication skills
• Computer skills with experience in EXCEL, and WORD
• Knowledge of basic medical terminology

Work Rights