Grievance and Appeals Coordinator
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- Managed and distributed all incoming correspondence for Grievance and Appeal Unit i.e. Verbal and written.
- Handled phone reception and represented the company in a proper and orderly manner.
- Maintained the medical record filing system that included physical and electronic logs of both member(s) and provider(s) appeals.
- Assisted in the coordination of all administrative and project support efforts for the expansion of Grievance and Appeal Unit that included auditing and standard of procedure documentation drafting.
- Assisted in the training of new permanent and temporary staff members.
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Accomplishments: |
Set a benchmark for the position, and for training. |
Result: |
The hiring of 4 additional specialists and development of three additional support positions. |