- Fallon Health (Worcester, MA)
- …Appeals & Grievances Coordinator is responsible for the presentation of the member appeal to the FH Medical Director, Center for Medicare/Medicaid Services, ... Coordinator serves to administer the FH Appeals and Grievance process as outlined in the Member ...appeals, which includes, educating the member and/or member representative about the grievance / appeal ,… more
- Commonwealth Care Alliance (Boston, MA)
- …completion of member verbal and written correspondence. + Thoroughly document all member appeal and grievance related interactions and interventions into ... member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator ...needed. + Supports the maintenance of updated data in Appeal / Grievance application of the member … more