What are the responsibilities and job description for the Grievance & Appeals Coordinator I position at Pyramid Consulting, Inc?
Immediate need for a talented Grievance & Appeals Coordinator I. This is a 03 months contract opportunity with long-term potential and is located in Jersey City.NJ(Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:25-65950
Pay Range: $18.50 - $19/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy [Link available when viewing the job].
#prof J2W:CB3
Job ID:25-65950
Pay Range: $18.50 - $19/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Gather, analyse and report verbal and written member and provider complaints, grievances and appeals.
- Prepare response letters for member and provider complaints, grievances and appeals.
- Maintain files on individual appeals and grievances.
- Manage large volumes of documents including copying, faxing and scanning incoming mail.
- Volume is provided daily to process.
- Shift (Start/End Time): Training (2 days then released but managers available for any questions) and working schedule.
- Mon-Friday 8am-5pm EST 1 hour lunch no OT.
- Target start date: Start 4/21 / ASAP.
- Key Skills:Grievance & Appeals, Claims, Managed care.
- Clerical
- Appeals
- Organizational, Strong oral, written, and problem solving skills.
- Health insurance background
- 2 years appeals and/or claims or related managed care experience. Strong oral, written, and problem solving skills.
- Appeals background.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy [Link available when viewing the job].
#prof J2W:CB3
Salary : $19 - $19
