Complaint and Appeals Analyst
| Company | CVS Health |
|---|---|
| Location | Washington, USA, Oregon, USA, Delaware, USA, California, USA, Vermont, USA, Texas, USA, Nevada, USA, Georgia, USA, Arizona, USA, Mississippi, USA, Minnesota, USA, Colorado, USA, Kentucky, USA, Maine, USA, Oklahoma, USA, Missouri, USA, Ohio, USA, Louisiana, USA, Illinois, USA, Alabama, USA, Idaho, USA |
| Salary | $21.1 – $44.99 |
| Type | Full-Time |
| Degrees | |
| Experience Level | Junior |
Requirements
- 1 year of experience processing health insurance grievance and appeal cases.
- High School Diploma or GED required.
Responsibilities
- Research and process grievances and appeals for Dual eligible members and providers.
- Perform outreach to obtain additional information.
- Interact with Medical Directors and Nurses as well as Leadership.
Preferred Qualifications
- 6+ years of experience Medicare and Medicaid appeal and grievance preferred.