- Fallon Health (Worcester, MA)
- …regulatory requirements and member and provider expectations. The FH Appeals and Grievances Triage Administrator serves to administer the FH Appeals ... Coverage, departmental policies and procedures, and regulatory standards. The Triage Administrator is responsible for triaging and... is responsible for triaging and assigning all incoming appeals and grievances addressed to the Member… more
- Fallon Health (Worcester, MA)
- …of Coverage, departmental policies and procedures, and regulatory standards. The Member Appeals & Grievances Intake Administrator is responsible for ... applicable regulatory requirements and member expectations. The FH Member Appeals and Grievance Intake Administrator serves to...triaging and assigning all incoming appeals and grievances addressed… more
- VNS Health (Manhattan, NY)
- … triage tasks, including intake, classification, setup, and assignment of grievances and appeals . Additionally, provides administrative support to staff, ... department process. + Assists with triaging cases for valid appeals and moving out of triage accordingly....Prepares letters requesting Appointment of Representative (AOR) forms in grievances and appeals filed on behalf of… more