Grievance & Appeals Coordinator
Company: Strategic Staffing Solutions
Location: Detroit
Posted on: May 28, 2023
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Job Description:
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!Strategic
Staffing Solutions is currently looking for a Grievance and Appeals
Coordinator for a contract opportunity with one of our largest
clients located in Detroit, MI! Title: Grievance & Appeals
Coordinator Location: Detroit, MI (Remote/local to Michigan) Role
Type: W2 contract with potential for FTE Engagement
DescriptionAnalyze, investigate, and resolve appeals, complaints,
and grievances. Provide comprehensive and thorough responses in
compliance with CMS guidelines, state and federal regulations, and
accreditations standards. Interact with internal and external
customers and subject matter experts to gather information, build a
case, and make decision to maintain or reverse appeal or grievance.
Analyze and interpret systems data, contract language, regulatory
provisions, and apply to casework. Adhere to policies, procedures,
and audit standards to remain compliant and audit ready.Top 3
Required Skills/Experience
* Critical thinking, problem solving, analytical skills* Letter
writing and proofreading* 2 years Customer service/concierge
services
Required Skills/Experience
* PC Applications* Excellent verbal and written communication
skills* Organizational/Time Management* 2 years health insurance
experience and familiarity with health insurance state and federal
regulations
Education/Certifications
* Bachelor's Degree in English, Communications, or related field
preferred.
The S3 DifferenceThe global mission of S3 is to build trusting
relationships and deliver solutions that positively impact our
customers, our consultants, and our communities. The four pillars
of our company are to:
* Set the bar high for what a company should do* Create jobs* Offer
people an opportunity to succeed and change their station in life*
Improve the communities where we live and work through volunteering
and charitable giving
As an S3 employee, you're eligible for a full benefits package that
may include:
* Medical Insurance* Dental Insurance* Vision Insurance* 401(k)
Plan* Vacation Package* Life & Disability Insurance Plans* Flexible
Spending Accounts* Tuition
ReimbursementPDN-993351c7-8aa7-4f2c-aedb-8c81f2778c94
Keywords: Strategic Staffing Solutions, Detroit , Grievance & Appeals Coordinator, Other , Detroit, Michigan
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here to apply!
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