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.