HP Grievance & Appeals Coordinator

Department Name: Work Shift: Day Job Category: General Operations The future is full of possibilities. At Banner Plans & Networks, we’re changing the industry to reduce healthcare costs while keeping members in optimal health. If you’re ready to change lives, we want to hear from you. Banner Plans & Networks (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is to reduce healthcare costs while keeping our members in optimal health. BPN is known for its innovative, collaborative, and team-oriented approach to healthcare. We offer diverse career opportunities, from entry-level to leadership positions, and extend our innovation to employment settings by including remote and hybrid opportunities. As a Health Plans Grievance and Appeals Coordinator , you will play a critical role within Banner Plans & Networks, ensuring the timely intake, review, investigation, and resolution of grievances, appeals, and provider disputes. This is a high-volume, fast-paced position that requires prior knowledge of grievance and appeals processes . In this role, you will research complex claim and service issues, determine appropriate levels of review, coordinate with internal teams and providers, document findings, and prepare professional correspondence including acknowledgment and resolution letters. Success in this position requires exceptional attention to detail, strong written communication skills, sound judgment, an