Ref ID: 00291-0011802172
Classification: Medical Claims Representative
Compensation: $19.00 to $22.00 hourly
An Appeals and Grievances Coordinator is needed for a large and growing healthcare organization in Los Angeles. While this role role start out remote, you would be required to work in their Woodland Hills office when they return.
Must have at least 6 months of experience with appeals and grievances.
Day to day duties:
-Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.
-Prepare response letters for member and provider complaints grievances and appeals
-Maintain files on individual appeals and grievances
-May coordinate the Grievance and Appeals Committee Support the pay-for-performance programs including data entry tracking organizing and researching information
-Assist with HEDIS production functions including data entry calls to providers offices and claims research. -Manage large volumes of documents including copying faxing and scanning incoming mail
Job Requirements:
-Appeals and Grievances
-Healthcare knowledge
-Data Entry
If this sounds like you, contact us today! If you feel most productive in a thriving, dynamic work environment, we have an excellent opportunity that may be a great fit for you. This opportunity will not be available by the end of the week – contact us today!
OfficeTeam, a Robert Half Company, matches professionals in the administrative field with remote or on-site jobs on a temporary and temporary-to-full-time basis. Whether you’re a seasoned administrative pro or starting your career, we have options for you.
Our experienced staffing professionals can promote you to employers and advocate on your behalf. We provide access to top jobs, competitive compensation and benefits, and free online training. For more opportunities, get the Robert Half app and receive instant notifications when our AI matches your skills and experience with jobs.
When you work with us, you’re working with the best. has been recognized as one of FORTUNE’s “Most Admired Companies” every year since 1998 and was named to Forbes’ inaugural list of America’s Best Temporary Staffing Firms.
Questions? Call your local office at 1.888.490.4154. All applicants applying for U.S. job openings must be authorized to work in the United States. Benefits are available to temporary professionals. Visit https://roberthalf.gobenefits.net/ for more information.
© 2020 OfficeTeam. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (www.roberthalf.com/terms-of-use).