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Grievance & Appeals Coordinator

Iconma

Remote, MI(remote)

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JOB DETAILS
SALARY
$29.21–$31.55 Per Hour
SKILLS
Adobe Acrobat, Analysis Skills, Centers for Medicare and Medicaid Services (CMS), Computer Skills, Customer Support/Service, Documentation, Health Insurance, Health Plan, Healthcare, Insurance, Medicare, Organizational Skills, Regulations, Research Skills, Work From Home
LOCATION
Remote, MI(remote)
POSTED
12 days ago
Our client, a Health Insurance organization, is looking for a Grievance & Appeals Coordinator to work remotely.

Responsibilities
  • Processing appeals, grievances, complaints, and inquiries received from members, authorized representatives, and regulatory agencies.
  • Analyze the customer’s concerns, conduct necessary research by leveraging various internal and external resources and contacts in order to make appropriate and accurate case decisions.
  • Keep an accurate documentation record that details steps and action taken to resolve the customer’s concerns. The outcome and resolution of all appeals, grievances, complaints, and inquiries is communicated via written correspondence to the customer using clear and simple language and include elements that satisfy corporate, regulatory, and accreditation timeframes, accuracy and response guidelines.

 
Requirements:
  • Experience handling a large load of work in a fast-paced environment
  • Insurance, Medicare/CMS knowledge
  • Customer Service Experience
  • Grievance and Appeals experience.
  • Degree in Healthcare/computer skills
  • Experience in analyzing a claim
  • Experience in classification between a grievance/appeal/organizational determination.
  • Letter writing
  • Basic computer skills (how to save a PDF, how to navigate excel, learning new systems)
 
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About the Company

I

Iconma

ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.

  • Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
  • Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
  • Founded in 2000
  • 2000+ Employees

The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.

COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Management Consulting Services
EMPLOYEE BENEFITS
401K, Employee Referral Program, Life Insurance
FOUNDED
2000
WEBSITE
https://www.iconma.com/

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