Appeals and Grievances Representative, Intermediate (Medi-Cal)

BSC • Long Beach, CA

13d

About The Position

The ​Blue Shield Promise Medi-Cal Appeals and Grievance team researches and resolves member/subscriber grievances, appeals, and interprets and explains health plan benefits, policies, and procedures to Medi-Cal enrollees. The ​Medi-Cal Appeals and Grievance Coordinator​ will report to the ​Operations Supervisor. In this role you will​ be responsible for producing complex written correspondence within timeliness compliance, resolving member grievances and appeals specific to mandates, and meeting Regulatory timeframes​​.

Responsibilities

• producing complex written correspondence within timeliness compliance
• resolving member grievances and appeals specific to mandates
• meeting Regulatory timeframes

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees