Grievance and Appeals Coordinator

posted:
Location
Little Rock, Arkansas
Industry
Insurance (Management Occupations)
Job Type
Temporary
Working Hours
8:00 AM - 5:00 PM
Salary
US$ 17.00 per hour
Ref. Number
S_70843
Contact
mcphebe, Spherion
Phone
501-312-8367
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Job Description

Gather, analyze 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
Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information
Manage large volumes of documents including copying, faxing and scanning incoming mail

Responsibilities:
Gather, analyze 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
Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information
Manage large volumes of documents including copying, faxing and scanning incoming mail

Working hours: 8:00 AM - 5:00 PM

Skills:
- 3-5 MUST HAVE's
2+ years grievance or appeals, claims or related managed care experience.
Strong oral, written, and problem solving skills.
Some knowledge of authorization processes
Education requirement?
High school diploma or equivalent. Associate's degree preferred

Education:
Associate

Experience:
1-4 years

Qualifications:
?? 3-5 MUST HAVE???s
2+ years grievance or appeals, claims or related managed care experience.
Strong oral, written, and problem solving skills.
Some knowledge of authorization processes
Education requirement?
High school diploma or equivalent. Associate???s degree preferred


?? Hours of operation?
M-F 8:00 am- 5:00 pm. No holidays or weekends
?? Do you have an hourly pay rate for this position?
How would you like to interview
Zoom w/Video
?? Is this position WFH until the department returns t

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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