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Job Requirements of Grievance & Appeals Coordinator I:
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Employment Type:
Contractor
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Location:
Little Rock, AR (Onsite)
Do you meet the requirements for this job?
Grievance & Appeals Coordinator I
Pyramid Consulting, Inc
Little Rock, AR (Onsite)
Contractor
Immediate need for a talented Grievance & Appeals Coordinator I. This is a 03+ Months Contract opportunity with long-term potential and is located in Arkansas (Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:25-84085
Pay Range: $20.50 - $21/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:
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .
#prof J2W:CB3
Job ID:25-84085
Pay Range: $20.50 - $21/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:
- Shift : 8-5 CST
- Reviewing faxes that come in from the providers and members that are appealing a denial of medical claim.
- If it is a true appeal, then they will send the documents to a vendor that will review them.
- After the vendor makes their decision to uphold/overturn the claim, then they will follow the procedures on notifying the provider/member of the decision.
- We mainly do this be sending a letter, but on occasion we have to call them.
- Skills-Grievance & Appeals, Claims processing & Computer proficiency
- Computer Skills
- Strong oral, written and problem solving
- Health Claims
- High School Diploma
- Associate’s degree or 2+ experience with medical claims process.
- Microsoft Word
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy .
#prof J2W:CB3
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