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.
• 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.
• 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. .