Grievance Appeals Specialist
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Grievance & Appeals Specialist II
(NSA).
Key Responsibilities
Review and validate appeals submitted by Medicaid and Medicare
providers
Prepare appeals for clinical review and track outcomes from Appeals
Committee meetings
Process various types of appeals and resolve them within regulatory
timeframes
Required Qualifications
High school diploma or equivalent is required
Associates Degree or equivalent years of relevant work experience
preferred
Minimum of two (2) years of healthcare customer service, claims,
compliance, or related experience is required
Keywords: VirtualVocations, Irvine , Grievance Appeals Specialist, Other , Vista, California
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