Contract
Grievance & Appeals Coordinator
Posted on 31 March 25 by Christine Slater
- Detroit, MI
- $ - $
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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 in EST)
Duration: 12+ 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. 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 and strong computer skills!
- Insurance, Medicare/CMS knowledge
- Customer Service Experience
- Writing Letters
- Analytical thinker
- Research Skills
- Multi-task
- Grievance and Appeals experience.
- Degree in Healthcare
- Computer skills
- Experience in analyzing a claim
- Experience in classification between a grievance/appeal/organizational determination.
- Letter writing
- Bachelor's degree