Grievance &Appeals Coordinator at Strategic Staffing Solutions
Detroit, MI
About the Job
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!
Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator for a contract opportunity with one of our largest clients!
Candidates should be willing to work on our W2 ONLY.
Job Title: Grievance & Appeals Coordinator
Key Skills:
• Experience handling a large load of work in a fast-paced environment.
• Insurance, Medicare/CMS knowledge
• Customer Service Experience
Role Type: W2 only, No c2c
Duration: 6 months
Location: Detroit, MI
Schedule: Remote
Role Summary:
• Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines.
• Contact customers to gather information and communicate disposition of case.
• Conduct pertinent research to evaluate, respond to, and finalize case.
• Familiar with standard concepts, practices, and procedures for analyzing, interpreting data and applying contract and regulatory provisions.
Education and Qualification:
• High School Diploma or GED required.
• Bachelor’s Degree in English, Communications or related field preferred.
• Two (2) years customer service experience required.
• Two (2) years health insurance experience and familiarity with health insurance state and federal regulations preferred.
• Strong project management skills preferred.
Top 3 Required Skills/Experience
• Experience handling a large load of work in a fast-paced environment.
• Insurance, Medicare/CMS knowledge
• Customer Service Experience
Required Skills/Experience
• Writing Letters
• Analytical thinker
• Research Skills
• Multi-task
Preferred Skills/Experience
• Grievance and Appeals experience.
• Degree in Healthcare
• Experience in analyzing a claim
• Experience in classification between a grievance/appeal/organizational determination.
“Beware of scams. S3 never asks for money during its onboarding process.”
