Grievance & Appeals Coordinator

Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and provider complaints, grievances and appeals. Prepare response letters for member and provider complaints, grievances and appeals. Maintain files on individual appeals and grievances. May coordinate the Grievance and Appeals Committee Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information. Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research. Manage large volumes of documents including copying, faxing and scanning incoming mail.

According to JobzMall, the average salary range for a Grievance & Appeals Coordinator in 5130 Sunforest Dr, Tampa, FL 33634, USA is $67,944 - $90,874.

Centene Corporation is a large publicly traded company and a multi-line managed care enterprise that serves as a major intermediary for both government-sponsored and privately insured health care programs.