2 Grievance & Appeals Coordinator Jobs in Detroit, MI
LanceSoft Inc is Hiring a Grievance & Appeals Coordinator Near Detroit, MI
- Analyze, research, resolve and respond to complaints, appeals, and grievances from members, providers, and regulatory agencies with established regulatory and accreditation guidelines.
- Make appeals complaints and grievance decisions and communicate decision to the claimant within regulatory and accreditation guidelines for timeliness.
- Provide comprehensive appeals and grievances responses that support the decision and comply with regulatory and accreditation guidelines.
- Coordinate, facilitate, and conduct managerial-level conferences with customers and their authorized representatives.
- Stay abreast of internal policies and procedures and regulations for accurate resolution of appeals, complaints and grievances.
- Customer service/concierge experience
- Strong writing/letter writing and proofreading skills
- PC application/system skills, ability to navigate multiple computer systems and databases
- Be analytical, having the ability to examine a matter, the facts, contextual information and make an informed decision or implement and execute a reasonable, rational resolution
- Have high regard for quality of work, accuracy, and confidentiality
- Problem solving/conflict resolution
- Responding to appeals, grievances, complaints, HICS Marketplace
- Medical billing/medical terminology
- Bachelors degree
Job Summary
Contractor
Business Services
$62k-75k (estimate)
05/26/2024
11/28/2024
lancesoft.com
HERNDON, VA
500 - 1,000
2000
Private
DIVYA GANDHI
$200M - $500M
Business Services
Related Companies
About LanceSoft Inc
LanceSoft is a provider of application development, management outsourcing and data-warehousing services to the aerospace and automotive sectors.
The following is the career advancement route for Grievance & Appeals Coordinator positions, which can be used as a reference in future career path planning. As a Grievance & Appeals 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 & Appeals Coordinator. You can explore the career advancement for a Grievance & Appeals Coordinator below and select your interested title to get hiring information.
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