Job Details

Grievance & Appeals Coordinator | Remote | Contract

Walker Healthforce is seeking a Grievance & Appeals Coordinator with 2+ years of experience. This is a 6-9 month contract opportunity.

CORE REQUIREMENTS:

• 2 years in customer service/concierge services
• Strong critical thinking, research, problem solving, and analytical skills
• Background in writing and/or research to make decisions and prepare letter/response writing
• Accuracy and strong attention to detail
• Excellent verbal and written communication skills
• Strong project management skills preferred including management of cases
• Strong PC applications (i.e. Microsoft Excel, Word, and Outlook).- having the ability to navigate multiple computer systems and databases
• Bachelor's Degree in Health Care Administration, English, History, Communications, Law or related field

WE CONSIDER IT A BONUS IF YOU ALSO HAVE:

• Recent experience with researching, writing, and analyzing policies/contracts
• Higher level degree in business or law (JD)

JOB RESPONSIBILITIES:

• Processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies.
• Analyze the customer's concerns, conduct necessary research by leveraging various internal and external resources and contacts to make appropriate and accurate case decisions.
• Coordinate, facilitate, and conduct managerial level conferences with customers and their authorized representatives to gather and relay information.
• Keep an accurate documentation record that details steps and action taken to resolve the customer's concerns. The outcome and resolution of all appeals, grievances, complaints, and inquiries is communicated via written correspondence to the customer using clear and simple language and include elements that satisfy corporate, regulatory, and accreditation timeframes, accuracy and response guidelines.

WHAT WE OFFER:

• Competitive compensation package
• Weekly pay via Direct Deposit
• Medical, Dental & Vision available
• 401k options

WHY WORK WITH WALKER?

• Access to our top ranked team of recruiting and placement specialists
• Continuous, one-on-one support from a dedicated engagement manager
• Professional resume development and interview preparation

Contact our Recruiting Team today to experience the Walker Healthforce difference!

ABOUT US:

Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.

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