GRIEVANCE AND APPEALS COORDINATOR I

Remote Full-time
We are currently hiring for a Grievance and Appeals Coordinator at our Healthcare client in GA! This position is remote but candidates must reside in GA per client requirement. This is a temp position to start with opportunity for extension and/or permanent placement! Pay Rate: $22.50/hr Hours: M-F, 8am-5pm Start Date: Typically 2 weeks from offer Position requires minimum 2 years of Grievance and Appeals experience in Healthcare. Responsible for processing appeals. Background checkis Criminal, Employment, Education and Drug Screen Please email your resume to [email protected] for next steps!

salary: $22.49 - $22.5 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

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
• May coordinate the Grievance and Appeals Committee
• Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information
• Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research.
• Manage large volumes of documents including copying, faxing and scanning incoming mail

Skills
• Answering Phones
• Multi-tasking
• Decision Making
• Maintaining Calendars
Qualifications
• Years of experience: 2 years
• Experience level: Experienced
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.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

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