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Grievance and Appeals Coordinator I

A Line Staffing Solutions

This is a Contract position in Lynnfield, MA posted October 12, 2021.

A-Line Staffing is now hiring a Grievance and Appeals Coordinator I in Tempe, AZ .

The Grievance and Appeals Coordinator I would be working for a Fortune 500 company and has career growth potential.

Location: Candidates must be local to Tempe, AZ (remote to start) Schedule: Monday to Friday, 8AM-5PM Pay: $20 per hour Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Responsibilities
· Receive, validate and triage new appeals and disputes
· Assist with entry of new disputes as required
· Research the allegations made in the appeal or dispute as well any relevant adjunct issues that are presented or may be at issue
· Research the claim / authorization / treatment history of the party at issue, document research in the appropriate locations
· Coordinate with all relevant departments to ensure accurate history and follow-up actions including creation of auth or claims payment
· Provide the highest standard of prompt and courteous customer service to both internal and external customers
· Create and ensure timely receipt of all correspondence related the appeal / dispute
· Document and communicate trends in a database as well to peers and leadership
· Actively participate in a weekly grievance committee as required
· Maintain minimum production and TAT standards Job Requirements: Required
· 2 years grievance or appeals, claims, or related managed care experience
· Excellent oral and written communication
· Problem solving skills
· HS Diploma or Equivalent Preferred
· Associate’s degree