Job Overview
We are seeking a diligent and detail-oriented Healthcare Grievance Coordinator to join our team in a remote capacity. In this pivotal role, you will manage the processing of appeals and grievances, ensuring compliance with regulatory and accreditation standards. You will engage in thorough research and analysis to deliver well-prepared responses while keeping clients informed throughout the process.
Key Responsibilities
- Manage appeals and grievances in accordance with established regulatory guidelines.
- Conduct in-depth analysis and research on cases, delivering detailed responses to clients.
- Communicate effectively with clients to gather necessary information and update them on case dispositions.
- Apply your understanding of contract and regulatory provisions to accurately resolve cases.
- Employ standard practices for analyzing and interpreting data in a dynamic work environment.
Required Skills
- Strong analytical thinking and research capabilities.
- Excellent written and verbal communication skills.
- Proficient in managing multiple tasks and prioritizing effectively.
- Strong computer skills for processing high volumes of work efficiently.
- Familiarity with health insurance regulations is preferred.
Qualifications
- High School Diploma or GED.
- Minimum of two years of customer service experience.
- A solid understanding of health insurance, including applicable state and federal regulations, is desirable.
- Experience in composing clear and concise correspondence is necessary.
Career Growth Opportunities
This role presents significant potential for professional development and career advancement. As you gain expertise in managing appeals and grievances, there will be opportunities to handle more intricate cases and possibly progress into leadership positions.
Company Culture And Values
We pride ourselves on fostering a collaborative and supportive work environment that encourages our team members to share insights and work together. Our organizational culture is grounded in accountability and a steadfast commitment to compliance and customer service excellence.
Employment Type: Contractor
