Grievance and Appeals Coordinator

Alameda, CA 94502

Employment Type: Contract Job Category: Claims Job Number: 56534 Pay Rate: 34

Job Description

Need a chance to put your skills to work, as well as find a practice that will help you learn and grow? Here is an amazing opportunity for you to work as a Grievances and Appeals Coordinator. Our client focuses on providing high quality and affordable healthcare services to low-income families.

Responsibilities and essentials:

  • Verifies that all documentation is organized and complete, and that the appeal letter is logically argued.
  • Ensures the documentation utilized is recorded according to internal quality standards.
  • Uses the best, most compelling evidence available to support the argument presented in the appeal.
  • Prepares response letter for complaints, appeals and grievances.
  • Recognizes and obtains documentation to complete the appeals package.
  • Identifies trends and issues and communicates the issues to supervisor
  • Composes/writes appeal letters using the established insurance guidelines to resolve collection barriers.
  • Responds to written and email correspondence within established timelines.

Qualifications:

  • 2 + years experience in health services, managed care, hospital or similar setting
  • High School Diploma
  • Bachelor s or equivalent experienced preferred
  • Excellent verbal and written skills
  • Experience with Microsoft Word, Outlook and Powerpoint

Three reasons to work with Medical Professionals:

  1. We understand your goals, as well as the client’s needs. Linking both creates the best long-term relationships for all.
  1. We are aware of current and future opportunities with numerous healthcare clients. This is good for you, because timing is critical when searching for the right job.
  1. We act as your adviser, to assist you with your resume, discuss your long-term goals for employment and review the most up-to-date interview techniques.  

Medical Professionals helps you put your best foot forward throughout the hiring process. Contact us today!

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About Alameda, CA

Ready to kickstart your career in the vibrant and thriving area around Alameda, California? This picturesque region, nestled in the San Francisco Bay Area, offers an abundance of job opportunities with a backdrop of stunning views and a rich cultural scene. Discover the charm of Alameda with its historic landmarks like the USS Hornet Museum, unique cuisine at Alameda's vibrant restaurants, and diverse entertainment options at venues like the Alameda Theatre & Cineplex. With easy access to outdoor activities at Crown Memorial State Beach and the Alameda Marina, this area provides the perfect blend of work and play. Explore our job listings today and make your mark in this enchanting location!