Location: New York City, New York, USA
Category: Healthcare
Salary: 21 - 38 USD / hourly
Full-time
Responsible for reviewing and resolving member and provider complaints in compliance with healthcare standards and regulations.
Research and resolve appeals, disputes, grievances, and complaints from members and providers. Contact members/providers for communication. Prepare appeal summaries and correspondence concisely and accurately.
High School Diploma or equivalency required. Min. 2 years operational managed care experience in appeals or claims environment. Familiarity with Medicaid and Medicare claims processing.
Competitive benefits and compensation package offered. Equal Opportunity Employer (EOE) M/F/D/V.