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Grievance & Appeals Coordinator I

A-Line Staffing Solutions

Job Description



A-Line Staffing is hiring a Grievance & Appeals Coordinator in the Natomas or Woodland Hills, CA area. This is Full-Time 40 hours per week with a Major Healthcare Company!


Job Title:
Grievance & Appeals Coordinator I Compensation:
  • Pay: The pay is $23/hr paid Bi-Weekly
  • Benefits are available to full-time employees after 90 days of employment.
  • A 401(k) with company match is available after 1 year of service.
Highlights:
  • Location: Must be local to Natomas or Woodland Hills, CA Remote but may need to travel to the Centene office for meetings or events
  • Hours: The required availability is Monday-Friday 8am-4:30pm
  • This is a contract position with potential to convert directly based on attendance, performance, and business needs
Job Responsibilities:
  • Coordinate the grievance and appeals process for members.
  • Ensure timely responses to grievances and appeals in compliance with regulations.
  • Communicate with members regarding the status of their grievances and appeals.
  • Maintain accurate records and documentation of grievances and appeals.
  • Collaborate with various departments to resolve issues related to grievances.
Requirements:
  • 2-3 years of experience in a similar role within appeals and grievances, healthcare administration, or customer service in a regulated environment.
  • Attention to detail and accuracy, tech savvy, troubleshooting skills
    Strong communication and collaboration
  • Analytical and problem-solving skills, researching skills
  • Must have a minimum of a High School Diploma or GED Equivalent
  • Computer proficiency with Microsoft Office programs.
Preferred Skills:
  • Experience working with complex cases or compliance-related tasks is highly desirable.
  • Knowledge of Healthcare Regulations - Understanding of health plan compliance, regulatory requirements, or experience with Medicare/Medicaid guidelines.
  • Conflict Resolution Skills - Ability to handle sensitive cases with professionalism and empathy.
  • Project Coordination Experience - Exposure to coordinating cross-functional projects or initiatives in a fast-paced environment.
  • Good Letter writing skills


Apply now for immediate consideration with Silvana M. with A-Line!


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