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A&G Dismissal Specialist
A company is looking for an A&G Dismissal Specialist responsible for non-clinical case development and resolution. Key Responsibilities Manage case development and resolution for non-clinical cases, including claim denials and member complaints Investigate and resolve member representative cases while ensuring compliance with regulations Handle Department of Health and executive complaints as needed Required Qualifications Proven work experience in appeals and grievances or a healthcare environment High School Diploma or GED from an accredited institution Ability to work flexible hours, including weekends and evenings Experience in handling complex situations and projects Proficient in Microsoft Office Suite applications, particularly Excel
A company is looking for an A&G Dismissal Specialist responsible for non-clinical case development and resolution.
Key Responsibilities
Manage case development and resolution for non-clinical cases, including claim denials and member complaints
Investigate and resolve member representative cases while ensuring compliance with regulations
Handle Department of Health and executive complaints as needed
Required Qualifications
Proven work experience in appeals and grievances or a healthcare environment
High School Diploma or GED from an accredited institution
Ability to work flexible hours, including weekends and evenings
Experience in handling complex situations and projects
Proficient in Microsoft Office Suite applications, particularly Excel