Grievance and Appeals Coordinator

  • location: Saint Louis, MO
  • type: Temporary
  • salary: $17 - $17.64 per hour

job description

Grievance and Appeals Coordinator

Hiring immediately for a Grievance and Appeals Coordinator with one of St. Louis's top Healthcare companies! This is a work-from-home position until the department returns to the office. The ideal candidate will analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.

Responsibilities

Gather, analyze and report verbal and written member and provider complaints, grievances and appeals.

Prepare response letters for member and provider complaints, grievances and appeals.

Maintain files on individual appeals and grievances.

General administrative support, including data entry, tracking, organizing, and researching information.

Calls to provider’s offices, and claims research. 

Manage large volumes of documents including copying, faxing and scanning incoming mail.



Skills

  • Time Management (3 years of experience is required)
  • Decision Making
  • Organization
  • Prioritizing
  • Data Entry
  • authorization appeals (1 year of experience is preferred)
  • healthcare claim resolution (2 years of experience is preferred)
  • grievances and appeals (1 year of experience is preferred)
Education
  • Associates
Qualifications
  • Years of experience: 3 years
  • Experience level:Entry Level
Shift: First

Working hours: 8 AM - 4 PM

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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