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Grievances and Appeals Representative

Company: VirtualVocations
Location: Sioux Falls
Posted on: November 8, 2024

Job Description:

A company is looking for a Grievances & Appeals Representative.



Key Responsibilities

Manage client medical denials through comprehensive analytic reviews of clinical documentation
Perform advanced administrative and customer support duties requiring independent initiative and judgment
Work under limited guidance while prioritizing requests and adapting procedures as needed


Required Qualifications

2+ years of experience in a fast-paced, customer-focused environment
Experience in managing inventory and workflow
Strong technical skills with the ability to work across multiple software systems
High level of emotional intelligence to positively influence office culture
Associate's or Bachelor's Degree preferred

Keywords: VirtualVocations, Sioux Falls , Grievances and Appeals Representative, Other , Sioux Falls, South Dakota

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