Strategic Staffing Solutions
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!
Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator with one of our largest clients!
Job Title: Grievance & Appeals Coordinator
Duration: 6 months
W2 contract, No c2c.
Schedule: Remote
Location: Remote
Key Skills:
Top 3 Required Skills/Experience
- Experience handling a large load of work in a fast-paced environment and have computer skills!
- Insurance, Medicare/CMS knowledge
- Customer Service Experience
Engagement Description:
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 the disposition of the case. Conduct pertinent research in order to evaluate, respond to, and finalize the case. Familiar with standard concepts, practices, and procedures for analyzing and interpreting data and applying contract and regulatory provisions.
Required Skills/Experience
- Writing Letters
- Analytical thinker
- Research Skills
- Multi-task
Preferred Skills/Experience:
- Grievance and appeals experience.
- Degree in Healthcare/computer skills
- Experience in analyzing a claim
- Experience in classification between a grievance/appeal/organizational determination.
- Letter writing
- Basic computer skills. How to save a PDF, how to navigate excel, learning new system
Education/Certifications:
High school diploma or GED required. Bachelor’s degree in English, communications, or a related field preferred. Two (2) years of customer service experience are required. Two (2) years of health insurance experience and familiarity with state and federal health insurance regulations are preferred. Strong project management skills are preferred.
“Beware of scams. S3 never asks for money during its onboarding process.”
Job ID: JOB-240895
Publish Date: 30 Mar 2025