Ref ID: 00291-0011825993
Classification: Office Assistant
Compensation: $18.00 to $22.00 hourly
A Grievances and Appeals Coordinator is needed for a large healthcare organization in the San Fernando Valley. This role would start off remote, but would ultimately work in the office in Woodland Hills.
Job Tasks: speaking with members, documenting, research, formulating responses in writing to members, will need to meet deadlines. Must be able to explain your ability to handle multiple tasks as this position has a ton of moving parts.
Must have critical thinking skills and strong writing skills, this is not an entry level position.
Roles that have done well:
• Call center experience (being able to multitask and work through various issues)
• G& A experience
• People who have worked in Dr.s offices (i.e. billing, talking to members, pulling records), experience dealing with members (problem solving)
• Medical Management/UM
• COORDINATING (coordination of care for patient or member)
Job Requirements:
-Medical Terminology
-Medical Claims
-Appeals & Grievances
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