Grievance Appeals Coordinator
Grievance Appeals Coordinator
Posted on :
14-10-2024
Employer Active
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Share
Send me jobs like this
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Monthly Salary
Not Disclosed
Salary Not Disclosed
Posted on :
14-10-2024
Job Description
Overview:
TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family dental and vision plans for employers etc.
Title: Grievance &Appeals Coordinator
Work Location: Detroit MI 48226
Duration: 6 Months
Job Type: Contract
Work Type: Remote
Dept: MA Grievances and Appea
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 analysing interpreting data and applying contract and regulatory provisions. High School
- Diploma or GED required.
- Bachelors 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.
Top 3 Required Skills/Experience
- Experience handling a large load of work in a fastpaced environment.
- Insurance Medicare/CMS knowledge
- Customer Service Experience
Required Skills/Experience The rest of the required skills/experience. Include:
- Writing Letters
- Analytical thinker
- Research Skills
- Multitask
Preferred Skills/Experience Optional but preferred skills/experience. Include:
- Grievance and Appeals experience.
- Degree in Healthcare
- Experience in analysing a claim
- Experience in classification between a grievance/appeal/organizational determination.
Education/Certifications Include:
- Healthcare English
TekWissen Group is an equal opportunity employer supporting workforce diversity.
Employment Type
Full Time
Key Skills
Report This Job
Disclaimer: Drjobpro.com is only a platform that connects job seekers and employers. Applicants are advised to conduct their own independent research into the credentials of the prospective employer.We always make certain that our clients do not endorse any request for money payments, thus we advise against sharing any personal or bank-related information with any third party. If you suspect fraud or malpractice, please contact us via contact us page.
