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Kyyba

Remote Grievance and Appeals Coordinator ClaimsHealthcareMedical

Kyyba, Dallas, TX, United States


Job Description

Job Description

Job Title: Remote Appeals and Grievances Specialist

Job Type: 6-month contract (potential to extend or convert to FTE)

Pay: $28.00 - $35.00 per hour

Expected Hours: 40 hours per week

Job 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.

Top 3 Required Skills/Experience:

  • Experience handling a large load of work in a fast-paced environment and have computer skills!
  • 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/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:

  • Healthcare, English
  • 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.

Company Description

About Kyyba:
Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.
At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.

Company Description

About Kyyba:\r\nFounded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.\r\nAt Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.