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Grievance & Appeals Coordinator Contract Strategic Staffing SolutionsDetroit MI2 weeks ago

3 months ago

Detroit, United States Strategic Staffing Solutions Full time

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 / Remote in EST

Duration: 12+ Months

Role Type:  W2 Contract Engagement

Pay Rate: $30-32/hour

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. 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/Certifications

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.

Job ID: JOB-236679
Publish Date: 24 Jul 2024

Tagged as: Grievance & Appeals Coordinator