Government Careers

  • Government Programs Appeal Coordinator (40)

  • Virtual Vocations
  • all cities, Rhode Island 40 United States View Map

Investigating and responding to medical, pharmacy, and dental grievances, the full-time Government Programs Appeal Coordinator will manage complaints and appeals while working from home.Key responsibilitiesResearch and review grievances, complaints, and appeals, ensuring appropriate documentation and compliance with mandated timeframesCommunicate effectively with members, claimants, and other departments to facilitate complete and fair reviews of casesDocument outcomes of grievances, complaints, and appeals accurately in the system and respond to independent review entity requestsRequired qualificationsHigh School diploma or equivalent6 months to 2 years of experience in medical/dental claims processing or customer service preferredKnowledge of CMS rules for Medicare and Medicaid grievance, complaint, and appeal processes preferredAbility to interpret benefit contracts and administrative policiesProficiency in computer applications such as Word and Excel

Investigating and responding to medical, pharmacy, and dental grievances, the full-time Government Programs Appeal Coordinator will manage complaints and appeals while working from home.Key responsibilitiesResearch and review grievances, complaints, and appeals, ensuring appropriate documentation and compliance with mandated timeframesCommunicate effectively with members, claimants, and other departments to facilitate complete and fair reviews of casesDocument outcomes of grievances, complaints, and appeals accurately in the system and respond to independent review entity requestsRequired qualificationsHigh School diploma or equivalent6 months to 2 years of experience in medical/dental claims processing or customer service preferredKnowledge of CMS rules for Medicare and Medicaid grievance, complaint, and appeal processes preferredAbility to interpret benefit contracts and administrative policiesProficiency in computer applications such as Word and Excel

Government Careers

Government Careers

Government jobs offer stability, competitive benefits, and the chance to make a meaningful impact on your community and country.

Whether you’re starting your career or seeking new opportunities, these roles provide pathways for growth, security, and service.

Explore positions across a wide range of fields and take the first step toward a rewarding future in public service.

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