Acg (Appeals, Complaints And Grievances Coordinator) Coordinator
CurrentAppeals, Complaints and Grievances Coordinator:Process clinical and administrative appeals and waivers request, 2nd level appeal, service requests, complaints, RFI and grievance request regarding the Health Plans managed by the company. Handle and respond to all incoming External Appeal and DOI (Department Of Insurance) Complaints.Respond through correspondence to advise, as necessary, of rational and handling of information submitted.Sort, log in, handle and… Show more Appeals, Complaints and Grievances Coordinator:Process clinical and administrative appeals and waivers request, 2nd level appeal, service requests, complaints, RFI and grievance request regarding the Health Plans managed by the company. Handle and respond to all incoming External Appeal and DOI (Department Of Insurance) Complaints.Respond through correspondence to advise, as necessary, of rational and handling of information submitted.Sort, log in, handle and process all incoming mail.Make outgoing calls for additional information required for a complete review.Assist in the training of new employees, team leads and management.Act as liaison between ACG and the Health Plans managed by the company, the other departments within the company and Support Clinicians.Have experience with Microsoft Outlook, Microsoft Word and Microsoft Excel. Show less