Medicaid Appeals Coordinator

Medicaid Appeals Coordinator needs 2+ years of grievance or appeals experience Medicaid Appeals Coordinator requires: - College degree (minimum of Associates) or equivalent work experience - 2+ years of grievance or appeals experience - Ability to effectively relate to a wide range of individuals from a diverse population. - Excellent customer service skills - Previous experience demonstrating problem-solving skills. - Strong organizational and communication skills, oral and written. - Working knowledge of Eligibility rules and processes and a willingness to gain an understanding of other operational processes - Ability to work independently. Medicaid Appeals Coordinator duties: - Demonstrate strong understanding of Medicaid, CHIP and the Affordable Care Act - Provide detail documentation regarding the outcome and action of the review. - Send appropriate communication to client identifying outcome of review. - Maintain a copy of all outgoing letters in the designated folder - Work with consumer and other organizations to resolve issues timely, accurately and professionally. - Conduct daily monitoring and tracking of all incoming work to ensure SLAs are met. . Originally posted on Himalayas