UST is searching for an Appeals and Grievances Intake Analyst who will support coordination of appeals and grievances intake, request medical records, and process member/provider requests as well as promote and support Appeals and Grievances team as required. 

Provide support services to team members triaging and completing intake requests for appeals and grievances into system Request medical records or other documentation as needed to complete appeal and grievances Maintain accurate and complete documentation of required information that meets quality standards. Protect the confidentiality of the member information and adheres to the company policies regarding confidentiality. Perform other duties as assigned

Qualifications:

High school diploma or G.E.D. required; associate or bachelor’s degree in health care related field an advantage but not required Current unrestricted LPN license or certified Medical Assistant designation an advantage but not required Minimum of one year experience in a health care related field. Preferred setting is hospital, medical doctor’s office, or health insurance company. Appeal and grievance experience preferred. Experience with medical terminology and concepts used in the healthcare delivery system, provider office, or the insurance industry is required. Computer literacy to include Microsoft Office products Advanced technical skills for use of hardware and software with a high degree of accuracy. Excellent oral and written communication skills for representation of clear and concise results. Ability to manage significant workload, and to work efficiently under pressure, meeting established deadlines with minimal supervision. Strong time management skills Must possess high degree of accuracy, efficiency, and dependability Effective written and verbal communication and feedback Effective organizational skills with ability to be flexible and prioritize tasks Knowledge of educational assessments and learning strategies Must be knowledgeable of and able to use standard, basic grammar, punctuation, and spelling in English