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Grievance & Appeals Coordinator - Norfolk, VA - PS16296

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Claims
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PS16296 Requisition #
Thanks for your interest in the Grievance & Appeals Coordinator - Norfolk, VA - PS16296 position. Unfortunately this position has been closed but you can search our 748 open jobs by clicking here.
Requirements:
  • Requires a HS Diploma or equivalent;
  • 4 years progressively complex experience working in grievances and appeals; 
  • Or, any combination of education and experience, which would provide an equivalent background.
  • Ability to multi-task, detail-oriented, ability to function in a production-based and independent work environment
Preferred Qualifications:
  • Behavioral Health experience – call center or external
  • Ability to meet quality standards in a high-demand BH shared services department 
  • PEGA familiarity 
  • Systems experience proficiency – FACETS, MACESS 
  • MS Office (Word, Excel, Outlook) proficiency 
  • Experience working with Medical directors and clinical staff 
  • Experience building authorizations and claims experience 
  • Medicaid/Medicare experience 
  • Bilingual 
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

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