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Appeals Coordinator -

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POST DATE 9/1/2016
END DATE 12/3/2016

AppleOne Phoenix, AZ

Job Classification
Full Time
Company Ref #
Required Licenses/Certifications
Phoenix, AZ
Job Type
AJE Ref #


Do you have a passion for appeals? You will be providing expertise in reviewing, researching including investigating, negotiating, and resolving all types of appeals and grievances, both verbal & written, from members and providers within stringent timeframes
Essential Duties and Responsibilities:
? Prepare acknowledgment and response letters to members and providers
? Maintain case records on all complaints, grievances, and appeals
? Identify, research and resolve claim disputes received from a variety of sources
? Understanding of claims processing and an ability to research claims issues
? Ability to multitask on multiple appeals simultaneously, prioritizing work and completing within stringent timeframes
? Prepare statistical analysis for required reporting
? Analyzes and tracks trends
? Other duties as assigned
Apply with Cheryl today. We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

Job Experience:

? Prior grievance and appeals experience preferred
? Minimum five years claims experience with coding certificate or,
? Certified professional coder with experience handling appeal in a providers office
? Proficiency in interpretation