Grievance & Appeals Specialist

Elder Health is the premier provider of managed care services to Medicare recipients. We are "the leader in simplifying access to healthcare." Since 1995 we have made a difference in the lives of seniors with our personalized medical model and health plan options that go beyond traditional Medicare. We employ the highest caliber professionals whose job satisfaction and commitment to our mission is extraordinary.

 

We are seeking an experienced Grievance and Appeals Specialist.  This position ensures timely and accurate resolution of grievances and appeals consistent with organizational policies and procedures and compliant with state and federal guidelines. Responsibilities include reviewing and analyzing appeals, generating all appropriate letters, maintaining accurate case files and documenting updates to the online tracking system. 

 

Successful candidates will have a minimum of 3 years health insurance experience, preferably in a grievance and appeals role. Other relevant experience includes knowledge of medical terminology and standard code sets and exceptional research, analytical, writing and customer service skills. Ability to meet deadlines and manage multiple priorities. Medicare background preferred.   

 

We offer market competitive experience-based compensation and full benefits:

 

? 401(k) starts immediately with generous employer match

? Unlimited tuition reimbursement

? Medical, dental, vision, prescription

? Paid STD, LTD, Life, AD&D

? Vacation, personal, sick & holidays

? Stock options and MORE!

 

Submit you resume online at www.elderhealth.com or contact Jessica Cook-Nesbitt at 410-864-4442.

 

EOE