Job Description
Stefanini Group is hiring!
Stefanini is looking for Appeals Intake Coordinator-Remote 100%
For quick apply, please contact Rahul Kumar; Ph: 248 936 5060
Rahul.kumar@stefanini.com
W2 Candidates Only!
Job Summary:
The Appeals intake coordinator position is focused on the processing of incoming member and provider Medicare appeals and grievances. This team member will screen incoming complaints and appeals for level of urgency, benefit or medical necessity issues and other appropriate inquiries. This team member will assign the incoming concern to the appropriate analyst and may assist in investigations, documentation gathering, and correspondence as needed. This team member may also participate in auditing and monitoring activities as assigned. This team member will promote quality member care and customer service/satisfaction.
This team member will interact with Customer Service, Utilization Management, Medical Directors, and other internal teams as necessary to effectively triage incoming complaints and appeals.
Essential Functions:
Qualifications:
#LI-RK1
#LI-HYBRID
Stefanini takes pride in hiring top talent and developing relationships with our future employees. Our talent acquisition teams will never make an offer of employment without having a phone conversation with you. Those face-to-face conversations will involve a description of the job for which you have applied. We also speak with you about the process including interviews and job offers.
About Stefanini Group:
The Stefanini Group is a global provider of offshore, onshore and near shore outsourcing, IT digital consulting, systems integration, application, and strategic staffing services to Fortune 1000 enterprises around the world. Our presence is in countries like the Americas, Europe, Africa, and Asia, and more than four hundred clients across a broad spectrum of markets, including financial services, manufacturing, telecommunications, chemical services, technology, public sector, and utilities. Stefanini is a CMM level 5, IT consulting company with a global presence. We are CMM Level 5 company
Numbers & Facts
| Location | Grand Rapids, MI |
| Job Type | Temporary, Contractor |
| Industry | Computer/IT Services |
| Salary | $17–$18 Per Hour |
| Company Size | 10,000 employees or more |
| Year Founded | 1987 |
| Website | http://www.stefanini.com |
About Company
Stefanini is a global IT services company with over 24,000 employees across 77 offices in 40 countries across the Americas, Europe, Africa, Australia, and Asia. Since 1987, Stefanini has been providing offshore, onshore and nearshore IT services, including application development and outsourcing services, IT infrastructure outsourcing (help desk support and desktop services), systems integration, consulting and strategic staffing to Fortune 1000 enterprises around the world.
With a base of over 500 active clients, including more than 300 multinationals, Stefanini maintains a strong presence in industries such as financial services, manufacturing, telecommunications, chemical, services, technology, public sector, and utilities. Clients benefit from Stefanini's financial stability, sustained year-over-year growth, and zero net debt. The corporate global headquarters is located in Sao Paulo, Brazil with European headquarters in Brussels and North American headquarters in metropolitan Detroit.
Skills
- Analysis Skillsunmatched
- Application Integrationunmatched
- Auditingunmatched
- Capability Maturity Model (CMM)unmatched
- Consultingunmatched
- Customer Service Managementunmatched
- Customer Support/Serviceunmatched
- Data Collectionunmatched
- Documentationunmatched
- Federal Laws and Regulationsunmatched
- Financial Servicesunmatched
- Fortune 1000 Customersunmatched
- Governmentunmatched
- HIPAA (Health Insurance Portability and Accountability Act)unmatched
- Health Insuranceunmatched
- Healthcare Customer Serviceunmatched
- High School Diplomaunmatched
- Identify Issuesunmatched
- Information Technology & Information Systemsunmatched
- Information Technology Consultingunmatched
- Information Technology Outsourcingunmatched
- Managed Careunmatched
- Manufacturingunmatched
- Medicareunmatched
- Nearshoringunmatched
- Organizational Skillsunmatched
- Recruiting Strategyunmatched
- Regulationsunmatched
- Regulatory Complianceunmatched
- Regulatory Requirementsunmatched
- System Integration (SI)unmatched
- Telecommunicationsunmatched
- Utilization Managementunmatched
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