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Quality Management Appeals and Grievances Intake Coordinator
DescriptionThe Appeals & Grievance Intake Coordinator serves as the primary point of contact for receipt of member-initiated complaints and Health Plan grievances and appeals. The Grievance and Appeals Intake Coordinator is responsible for managing the grievances and appeals shared email inbox and fax portal of received complaints, appeals and grievances. The management of grievances includes initial intake and triage, independently determining priority, information needed, creation of the case in the medical records system, and appropriate assignment to G&A staff. This position will interface with internal and external resources and organizations in a professional manner to ensure that
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