Appeal & Grievance Ops Analyst (Hybrid - Troy/MI) -

Only for registered members Troy, United States

3 weeks ago

Default job background

Job summary

This position is responsible for receiving analyzing and assigning Appeals Grievances and Complaints to the A&G Analysts. Ensures daily case receipt via mail fax email Customer Message Center and HAP's documentation application Pega. Responsible for investigation assignment and tracking for Appeals Reconsiderations Redeterminations and Grievances.

Qualifications

  • Associates Degree in Health Care Business or related field required.
  • Minimum of two years customer service experience in an office setting/call center.

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