appeal and grievance coordinator reviewer
Posted Today by Randstand (USA)
Negotiable
Outside
Remote
phoenix, arizona (remote)
Summary: The Appeal and Grievance Coordinator Reviewer is a critical role within the Health Services and Government Solutions team, focusing on regulatory compliance and quality assurance in healthcare. This position involves conducting in-depth research, auditing medical records, and resolving complex claims appeals to enhance the member experience. The role is remote and requires a detail-oriented and analytical approach.
Key Responsibilities:
- Conduct in-depth research related to appeals and grievances.
- Audit medical records to ensure compliance and quality assurance.
- Resolve complex claims appeals effectively.
- Protect the member experience through diligent review processes.
Key Skills:
- Analytical skills.
- Detail-oriented approach.
- Experience in healthcare regulatory compliance.
- Knowledge of quality assurance processes.
- Strong problem-solving abilities.
Salary (Rate): £15.00 hourly
City: Phoenix
Country: United States
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: Other
Are you an analytical, detail-oriented healthcare professional looking for a high-impact role in regulatory compliance and quality assurance? We are seeking a dedicated Appeal and Grievance Coordinator Reviewer to join our Health Services and Government Solutions team! In this critical position, you will play a vital role in protecting the member experience by conducting in-depth research, auditing medical records, and resolving complex claims appeals. Thi