grievance appeals coordinator i
Posted Today by Randstand (USA)
Negotiable
Outside
Remote
west des moines, iowa (remote)
Summary: The Grievance Appeals Coordinator I is responsible for analyzing and resolving verbal and written claims and authorization appeals from providers, as well as pursuing resolutions for formal grievances from members. The role requires effective communication and problem-solving skills, along with relevant experience in managed care. This position is remote and based in West Des Moines, Iowa.
Key Responsibilities:
- Analyze and resolve verbal and written claims and authorization appeals from providers.
- Pursue resolution of formal grievances from members.
- Gather, analyze, and report verbal and written member and provider information.
Key Skills:
- High school diploma or equivalent; Associate’s degree preferred.
- 2+ years of experience in grievance or appeals, claims, or related managed care.
- Strong oral and written communication skills.
- Problem-solving skills.
Salary (Rate): £18.45 hourly
City: West Des Moines
Country: United States
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: Other
Job Description Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.
Education/Experience: High school diploma or equivalent. Associate’s degree preferred. 2+ years grievance or appeals, claims or related managed care experience. oral, written, and problem solving skills.
- Gather, analyze and report verbal and written member and provider information.