Job Title: Grievance &Appeals Coordinator
Location: Remote (Must be comfortable working EST)
Duration: 6+ month contract with the chance of extending or converting
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.
Required Skills/Experience – The rest of the required skills/experience. Include:
• Writing Letters
• Analytical thinker
• Research Skills
• Multi-tasking abilities
•Medical Insurance, Medicare/CMS Knowledge
•Customer Service
Preferred Skills/Experience – Optional but preferred skills/experience. Include:
• 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
• Basic computer skills. How to save a PDF, how to navigate excel, learning new systems
Education/Certifications – Include:
• Bachelor’s Degree in English, Communications or related field preferred
...As a Water Treatment Operator , youll play a vital role in ensuring the smooth operation of our Water Treatment Plant. You'll report to our Water Treatment Team Leader. Your responsibilities will include: Operating Treatment Facilities to control the flow and...
...APR Consulting, Inc. has been engaged to identify a Medical Laboratory Assistant Location: 1280 Stateline Rd Southaven, MS 38671 Position : Medical Laboratory Assistant Pay Rate: $27-28/hr Duration : 4 month contract with potential to extend based...
Overview : Insight Global is seeking enthusiastic individuals interested in growing within drafting and design to join their team in Schenectady, NY. This role is responsible for taking engineering input to create quality, on-time, world-class models & drawings for large...
...whole person. Its no wonder 98% of patients report being fully satisfied with Upward Health! Job Title & Role Description: The Manager, Clinical Operations is responsible for leading multidisciplinary teams and supporting clients that provide community care in the...
...We are seeking an experienced and compassionate Nurse Practitioner (NP) with wound care expertise to join our healthcare team. In this role, you will provide specialized wound care to patients in various settings, delivering high-quality, patient-centered care. The ideal...