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.
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.
- Time Management (3 years of experience is required)
- Decision Making
- 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)
- Years of experience: 3 years
- Experience level:Entry Level
Working hours: 8 AM - 4 PM
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