Grievance & Appeals Coordinator I

Immediate need for a talented Grievance & Appeals Coordinator I. This is a 03+months contract opportunity with long-term potential and is located in Jersey City.NJ(Remote). Please review the job description below and contact me ASAP if you are interested.
 
Job ID:25-65950
 
Pay Range: $18.50 - $19/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• Gather, analyse 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.
• Manage large volumes of documents including copying, faxing and scanning incoming mail.
• Volume is provided daily to process.
• Shift (Start/End Time): Training (2 days then released but managers available for any questions) and working schedule.
• Mon-Friday 8am-5pm EST 1 hour lunch no OT.
• Target start date: Start 4/21 / ASAP.

Key Requirements and Technology Experience:

• Key Skills:Grievance & Appeals, Claims, Managed care.
• Clerical
• Appeals
• Organizational, Strong oral, written, and problem solving skills.
• Health insurance background
• 2+ years appeals and/or claims or related managed care experience. Strong oral, written, and problem solving skills.
• Appeals background.

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
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