JOB SUMMARY
The Appeals and Grievance Specialist performs reviews, within operational aspects, of the member and provider complaints, appeals and grievance cases for products for all lines of business. Responsibilities include, but are not limited to: timely classification and resolution of cases; review, research and coordination of complaints, grievances, appeals and reconsiderations consistent with statutory and federal regulatory guidelines.
Remote Role: Can perform job duties from any eligible location.
SALARY
The pay range for this position is $24.40/hr (entry-level qualifications) - $41.28/hr (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
ESSENTIAL FUNCTIONS OF THE ROLE
KEY SUCCESS FACTORS
BENEFITS
Our competitive benefits package includes the following
Note: Benefits may vary based upon position type and/or level
Founded as a Christian ministry of healing, Baylor Scott & White Health promotes the well-being of all individuals, families and communities.
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