Appeals and Grievances Auditor
Company: VirtualVocations
Location: Mesa
Posted on: February 5, 2025
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Job Description:
A company is looking for an Appeals and Grievances QA
Auditor.
Key Responsibilities
Review grievances and appeals for compliance with policies,
procedures, and regulatory requirements
Identify and provide feedback on issues with casework, including
data entry errors and untimely processing
Track audit findings and hold meetings to discuss trends and
coaching opportunities with department leads
Required Qualifications
Bachelor's degree or equivalent business experience
Minimum of 5 years of experience in Appeals and Grievances,
including experience with an appeals & grievances software
platform
Prior experience in A&G Medicare is required
Keywords: VirtualVocations, Casa Grande , Appeals and Grievances Auditor, Accounting, Auditing , Mesa, Arizona
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