What are the responsibilities and job description for the Grievance and Appeals Coordinator II position at A-Line Staffing Solutions?
A-Line Staffing is now hiring a Grievance & Appeals Coordinator in Alameda, CA. The Grievance & Appeals Coordinator would be working for a Fortune 500 company and has career growth potential. This would be full time / 40 hours per week.
If you are interested in this Grievance & Appeals Coordinator position, please contact Mackenzie Rose at mrose@alinestaffing.com or (586) 710-7966.
Grievance & Appeals Coordinator Compensation
· The pay for this position is $29.10 - $35 per hour based on experience.
· Benefits are available to full-time employees after 90 days of employment
· A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates
Grievance & Appeals Coordinator Highlights
· Monday through Friday – 8 am to 5 pm PST
· Hybrid role - must be close enough to office to work as needed onsite, expectations 2 or three days per month.
Grievance & Appeals Coordinator Responsibilities
· Thoroughly document the investigation and resolution of each case.
· Maintain an accurate and complete appeals/grievance record in the electronic database.
· Coordinate and prepare the Alliance component of the State Fair Hearing, MAXIMUS, Independent Medical Review (IMR), and DMHC appeal processes.
· Ensure compliance with state and federal regulations as they relate to appeal and grievance issues.
· Serve as the liaison with other departments to resolve grievance issues.
· Ensure timely communication with the Supervisor on all issues having potential risk and or impact on operations.
· Engage in special projects as assigned/requested.
· Other duties as assigned.
Grievance & Appeals Coordinator Requirements
· Attendance is mandatory for the first 90 days
· HS diploma or equivalent, required.
· Associates and/or bachelor’s degree, preferred.
· Ability to manage a caseload of a minimum of 60 cases a month. - Required
· Minimum of one to two year of experience in health services, managed care, hospital, or similar setting, required.
If you think this Grievance & Appeals Coordinator position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!
Mackenzie Rose – Recruiting Assistant
mrose@alinestaffing.com or (586) 710-7966.
Salary : $29 - $35
