Appeals Coordinator Jobs

Job Title: Appeals Coordinator- 100% remote

Pay rate: $35.45/hr. on W2

Only local candidates.

Duration: 12+ months contract

Location: 600 Lafayette East Detroit Michigan 48226

Description:

The Grievance and Appeals (G&A) Coordinator is responsible for processing appeals, grievances, complaints, and inquiries received from members, providers, authorized representatives, and regulatory agencies. The Coordinator is expected to analyze the customers concerns, conduct necessary research by leveraging various internal and external resources and contacts in order to make appropriate and accurate case decisions. Appeal Coordinators are expected to coordinate, facilitate, and conduct managerial level conferences with customers and their authorized representatives to gather and relay information

Top 3 Required Skills/Experience

•Excellent written and verbal communication skills. Must be proficient in proofreading, spelling, grammar, punctuation, and math

•Previous customer service or concierge experience

•Strong PC application and system skills- having the ability to navigate multiple computer systems and databases

Preferred Skills/Experience Previous health care or health insurance industry experience

Education/Certifications Bachelor’s Degree in English, Communication, Health Care Administration, or related field