1 Grievance coordinator Job in Missouri, MO
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BCforward is Hiring a Grievance coordinator Near Missouri, MO
BCForward is looking for Grievance & Appeals Coordinator II 100% REMOTE.
Job Title : Grievance & Appeals Coordinator II
Location : REMOTE
Duration : 5 Months End of this year
Pay-Rate : $34.32 / Hr. on W2
Position Purpose :
Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.
Education / Experience :
- Bachelor's degree in related field or equivalent experience. 2 years of claims, contracting, or related experience in a managed care environment.
- Review and process member and provider grievances and appeals within federal, state and organizational regulations and policies and procedures
Prepare cases for medical review as necessary
- Review and determine if claim grievance includes a potential quality or access issue
- Collaborate with subject matter experts within the organization to obtain benefit and / or clinical opinions / interpretations of complex cases
- Serve as liaison between member, provider regulatory agencies and internal staff. Correspond with key individuals regarding grievance and appeal decisions.
- Act as subject matter expert regarding grievances and appeals.
- Lead Appeals and Grievance Committee.
Benefits :
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
About BCforward :
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world.
Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years.
Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum.
As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information.
BCforward will only use this information to complete the recruitment process.
This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States.
The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position.
Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.
Interested candidates please send resume in Word format Please reference job code 224401 when responding to this ad.
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Salary Details
This salary was provided in the Job Posting.
$34.32
Hourly Salary
Job Snapshot
Employee Type
Contractor
Location
Missouri City, MO (Onsite)
Job Type
Health Care
Experience
Not Specified
Date Posted
07 / 08 / 2024
Last updated : 2024-07-09
Job Summary
Full Time
IT Outsourcing & Consulting
$63k-76k (estimate)
07/11/2024
08/11/2024
bcforward.com
CARMEL, IN
3,000 - 7,500
1998
Private
JUSTIN CHRISTIN
$50M - $200M
IT Outsourcing & Consulting
Related Companies
About BCforward
BCforward engaged in offering information technology and staffingsolutions.
The job skills required for Grievance coordinator include Managed Care, Accountability, etc. Having related job skills and expertise will give you an advantage when applying to be a Grievance coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Grievance coordinator. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Grievance coordinator positions, which can be used as a reference in future career path planning. As a Grievance coordinator, it can be promoted into senior positions as an Appeal Resolution Senior Specialist that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Grievance coordinator. You can explore the career advancement for a Grievance coordinator below and select your interested title to get hiring information.
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