A G Dismissal Specialist
Company: VirtualVocations
Location: Plano
Posted on: October 17, 2024
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Job Description:
A company is looking for an A&G Dismissal Specialist
responsible for managing non-clinical case development and
resolution related to member complaints and appeals.
Key Responsibilities
Manage case development and resolution for non-clinical cases,
including claim denials and member complaints
Research issues, interpret regulations, and communicate with other
departments to resolve cases
Ensure compliance with regulatory timeframes and edit resolution
letters
Required Qualifications
Proven work experience in appeals and grievances or a healthcare
environment
Experience in customer service, particularly in resolving escalated
complaints
Proficient in Microsoft Office Suite, especially Excel for data
management
Ability to work flexible hours as needed
High School Diploma or GED from an accredited institution
Keywords: VirtualVocations, Carrollton , A G Dismissal Specialist, Other , Plano, Texas
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