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Appeal and Grievance Coordinator Reviewer-remote

Apolis

Phoenix, AZ(remote)

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JOB DETAILS
SALARY
$18 Per Hour
SKILLS
Analysis Skills, Case Management, Centers for Medicare and Medicaid Services (CMS), Claims Processing, Communication Skills, Content Management Systems (CMS), Documentation, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Medical Records, Medical Research, Medical Terminology, Microsoft Office, Organizational Skills, Problem Solving Skills, Regulations, Salesforce.com, Time Management
LOCATION
Phoenix, AZ
POSTED
5 days ago

Job Title:Appeal & Grievance Coordinator Reviewer I
Location:Remote (PST Preferred)
Duration: 05+ Month Contract

Pay Rate: $18/Hour on W2

We are seeking an Appeal & Grievance Coordinator Reviewer I to review and research medical appeals and grievances, analyze claims and medical records, and ensure timely resolution in compliance with HIPAA, CMS, and regulatory guidelines. The ideal candidate will have experience with Appeals & Grievances, healthcare claims, medical documentation, and medical terminology, along with proficiency in Salesforce and GuidingCare for case management and documentation.

Preferred Skills:

  • Appeals & Grievances
  • Healthcare claims processing
  • Salesforce & GuidingCare
  • Medical documentation & medical records review
  • Medical terminology
  • HIPAA/CMS compliance
  • Strong analytical, communication, and problem-solving skills
  • Experience working with multiple healthcare systems and Microsoft Office

About the Company

A

Apolis

Since 1996, RJT has provided successful SAP, Oracle, and IT consulting solutions and staffing services to clients around the world. The new Apolis brings you the same personalized service fortified with a greater array of IT solutions, global expertise, and cost-management strategies.

We are a global IT consultancy that seamlessly integrates experts and leading-edge solutions into your organization so you can focus on what really matters.

COMPANY SIZE
500 to 999 employees
INDUSTRY
Computer/IT Services
EMPLOYEE BENEFITS
Paid Sick Days, Employee Referral Program, Employee Events, Retirement / Pension Plans
WEBSITE
https://www.apolisrises.com/

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