Grievance & Appeals Coordinator

The Appeals & Grievances Coordinator is responsible for the processing, tracking and follow up of all grievances, medical necessity and administrative denials and appeals. This individual is required to have excellent communication and organizational skills. Must possess the ability to work cooperatively with health plan Appeal Divisions, such as CMS, AHCA and other federal and state regulatory agencies. Coordinator must present excellent customer service to providers and members, and the ability to perform in potentially stressful situations.