Logo
Strategic Staffing Solutions

Grievance &Appeals Coordinator

Strategic Staffing Solutions, Frankfort, MI, United States


STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!

Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator with one of our largest clients!

Job Title: Grievance & Appeals Coordinator

Duration: 6 months

W2 contract engagement, NO C2C.

Location: Detroit, MI

Schedule: Remote

Responsibilities:
  • 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 the case.
  • Familiar with standard concepts, practices, and procedures for analyzing and interpreting data and applying contract and regulatory provisions.
Required Skills/Experience:
  • Strong project management skills preferred.
  • Experience handling a large load of work in a fast-paced environment and have computer skills!
  • Insurance, Medicare/CMS knowledge
  • Customer Service Experience
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,

"Beware of scams. S3 never asks for money during its onboarding process."

Job ID: JOB-239500
Publish Date: 12 Dec 2024