Grievance & Appeals Coordinator

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
* May coordinate the Grievance and Appeals Committee
* Support the pay-for-performance programs, including data entry, tracking, organizing, and researching information
* Assist with HEDIS production functions including data entry, calls to provider's offices, and claims research.
* Manage large volumes of documents including copying, faxing and scanning incoming mail

Qualifications

-At least two years of Grievance & Appeals experience OR at two years of related experience in Healthcare such as; claims processing, appeals, denials, medical billing, insurance verification, etc. Any type of position with a health insurance company or healthcare provider that deals with patient insurance may be considered.

-Proficient with navigating computer software and programs such as; Excel, Word, CRM, EMR's or Claims systems. i.e. can articulate how to complete certain functions.

About Aerotek:

We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.

Aerotek is acting as an Employment Agency in relation to this vacancy.