Grievance and Appeals Coordinator - A-Line Staffing Solutions

A-Line Staffing is now hiring a Grievance and Appeal Coordinator in Alameda. The Grievance and Appeal Coordinator would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week.

*This is a hybrid position* Must live close enough to the office to work onsite, as need – 2-3 days monthly

If you are interested in this Grievance and Appeal Coordinator position, please contact Mackenzie Rose at mrose@alinestaffing.com or (586) 710-7966 .

Grievance and Appeal Coordinator Compensation

• The pay for this position is $29.10 -$35 per hour based on experience
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on oureligibility dates

Grievance and Appeal Coordinator Highlights

• The required availability for this position is Monday -Friday 8 - 5 PST
• *This is a hybrid position* Must live close enough to the office to work onsite, as need – 2-3 days monthly

Grievance and Appeal Coordinator Responsibilities

• Thoroughly document the investigation and resolution of each case.
• Maintain an accurate and complete appeals/grievance record in the electronic database.
• Coordinate and prepare the Alliance component of the State Fair Hearing, MAXIMUS, Independent Medical Review (IMR), and DMHC appeal processes.
• Ensure compliance with state and federal regulations as they relate to appeal and grievance issues.
• Serve as the liaison with other departments to resolve grievance issues.
• Ensure timely communication with the Supervisor on all issues having potential risk and or impact on operations.
• Engage in special projects as assigned/requested.
• Other duties as assigned.

Grievance and Appeal Coordinator Requirements

• High School Diploma or GED
• Attendance is mandatory for the first 90 days
• Minimum of one to two year of experience in health services, managed care, hospital, or similar setting, required.
• Knowledge of managed care and medical terminology;
• Experience in a customer service or coordination in a healthcare setting or equivalent experience;
• Excellent verbal and written communications skills;
• Team player who builds effective working relationships;
• Strong organizational skills;
• Proficient experience in Microsoft Word, Excel, Access, Outlook, and PowerPoint; and
• Excellent verbal and written communication skills a must.

Grievance and Appeal Coordinator Preferred Qualifications

• Associates and/or bachelor’s degree, preferred.

If you think this Grievance and Appeal Coordinator position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!

Mackenzie Rose – Recruiting Assistant

mrose@alinestaffing.com or (586) 710-7966 or Schedule an appointment!

Grievance and Appeal Coordinator Requirements

• High School Diploma or GED
• Attendance is mandatory for the first 90 days
• Minimum of one to two year of experience in health services, managed care, hospital, or similar setting, required.
• Knowledge of managed care and medical terminology;
• Experience in a customer service or coordination in a healthcare setting or equivalent experience;
• Excellent verbal and written communications skills;
• Team player who builds effective working relationships;
• Strong organizational skills;
• Proficient experience in Microsoft Word, Excel, Access, Outlook, and PowerPoint; and
• Excellent verbal and written communication skills a must.

Grievance and Appeal Coordinator Preferred Qualifications

• Associates and/or bachelor’s degree, preferred.