Contract
Grievance & Appeals Coordinator
Posted on 12 December 24 by Christine Slater
- Nationwide, United States
- $ - $
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Job Description
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!
Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator for a contract opportunity with one of our largest clients located in Detroit, MI / REMOTE!
Title: Grievance & Appeals Coordinator
Location: Detroit, MI (Fully Remote)
Duration: 6+ Months
Role Type: W2 Contract Engagement
Engagement Description
Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Contact customers to gather information and communicate disposition of case. Conduct pertinent research in order to evaluate, respond to, and finalize case. Familiar with standard concepts, practices, and procedures for analyzing, interpreting data and applying contract and regulatory provisions. High School Diploma or GED required. Bachelor’s Degree in English, Communications or related field preferred. Two (2) years customer service experience required. Two (2) years health insurance experience and familiarity with health insurance state and federal regulations preferred. Strong project management skills preferred.
Top 3 Required Skills/Experience
• Experience handling a large load of work in a fast-paced environment.
• Insurance, Medicare/CMS knowledge
• Customer Service Experience
Required Skills/Experience
• Writing Letters
• Analytical thinker
• Research Skills
• Multi-task
Preferred Skills/Experience
• Grievance and Appeals experience
• Degree in Healthcare
• Experience in analyzing a claim
• Experience in classification between a grievance/appeal/organizational determination.
Education
• Bachelor’s Degree in English, Communications or related field preferred.
*Beware of scams. S3 never asks for money during its onboarding process