• A&G Coordinator

    Job Locations US-NY-Brooklyn
    Req #
    107163
    Agency
    Elderplan
    Status
    Regular Full-Time
    Location : Postal Code
    11220
    Category
    Customer Service
    Office or Field
    Office-based
  • Overview

    The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. Even in a non-clinical role, Elderplan employees have an opportunity to make a positive impact on the quality of our health plan members' lives.

    Responsibilities

    The A&G Coordinator will investigate and respond to written or verbal appeals and grievances submitted by members and providers in accordance with Contract Benefits and CMS and DOH regulations. Key responsibilities include determining the appropriate type of service, appeal or grievance, investigating and responding appropriately and within time guidelines, presenting cases for review and documenting all relevant information.

    Qualifications

    • Associates degree or equivalent preferred.
    • 2 years prior related experience.
    • Must be proficient in MS Word and Excel.
    • Excellent written and verbal communication skills, attention to detail, ability to set priorities appropriately and meet strict deadlines and the ability to manage multiple tasks simultaneously is required.

    Benefits

    We truly value our staff and further acknowledge their contributions by offering:

    • Employee and family health coverage
    • Competitive salaries
    • Employer contributed pension plan
    • Generous time off
    • Tuition reimbursement
    • 403(b) retirement plan

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