Senior A&G Coordinator

Responsibilities

• Prepare, communicate, and submit External Appeals and QIO case files to the Department and Financial Services (DFS) and the Quality Improvement Organization (QIO).
• Complete all quarterly DOH, CMS, and departmental reports.
• Serve as a backup for the A&G Fair Hearing Coordinator and the A&G Senior Specialists and other A&G staff as needed.
• Affiliate with VAM upgrades and training as needed.

Qualifications

• BA/BS degree or equivalent, relevant experience required.
• 3-4 years prior related experience in Managed Care or Health Care related organizations.
• Telephone, Fax, Email, Scanner, Microsoft Word, Excel, Powerpoint, capacity to learn other programs as assigned.
• Excellent written and oral communication skills.
• Good analytical abilities.
• Ability to be empathetic and understanding.
• Ability to handle confidential aspects of the position.
• Ability to work closely with different professionals as part of an interdisciplinary healthcare team.
• Good customer service skills.
• Ability to set priorities.
• Ability to work independently while recognizing issues having a departmental or organizational impact.
• Ability to maintain collegial relationships and work in an interdisciplinary team environment.

Pay

$61,463.13 - $73,755.75 per year

Schedule

Office-based