Grievance and Appeals Coordinator

A-Line Staffing Solutions

Los Angeles, CA

JOB DETAILS
SALARY
$22–$22 Per Hour
SKILLS
Arterial Lines, Computer Systems, Data Entry, Database Administration, Documentation, Healthcare, Information Technology & Information Systems, Legal, Legal Support Skills, Medical Office, Medical Records, Organizational Skills, Orthopedics, Patient Admissions, Patient Care, People Management, Telephone Skills, Test Data, Time Management, Utilization Management
LOCATION
Los Angeles, CA
POSTED
1 day ago

A-Line Staffing is now hiring a Remote Grievance and Appeals Coordinator located in California. The Grievance and Appeals Coordinator would be working for a major company and has career growth potential. This would be full time / 40+ hours per week.

If you are interested in this Grievance and Appeals Coordinator position, please contact Mitch at

mtrubitt@alinestaffing.com

Grievance and Appeals Coordinator Compensation

  • The pay for this position is $22 per hour
  • 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 and Appeals Coordinator Highlights

  • This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
  • The required availability for this position is Monday to Friday 8am and 6pm PST, shifts will vary within this timeframe
  • The position will be Remote, but may need to come onsite to the Woodland Hills location on occasion

Grievance and Appeals Coordinator Responsibilities

The Grievance and Appeals Coordinator will be speaking with members, documenting, researching (utilizing different material and navigating through systems, reaching out to providers & members, communicating with internal and external parties), and formulating responses in writing to members.

Grievance and Appeals Coordinator Requirements

  • Must Have Grievance and Appeals Experience
  • At least 1 year of recent Healthcare Experience
  • Strong organizational skills

Grievance and Appeals Coordinator Preferred Qualifications

  • 3+ years of recent experience in Grievance and Appeals
  • Experience in Medical Management, Utilization Management, and/or Managing a doctor’s office

If you think this Grievance and 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!

  • Provide supervision of intake staff
  • Answer all intake referral and inquiry
  • Processing new business intake forms and data
  • Reviewing information on new client intake documents
  • Communicate conversations to branch and intake department staff
  • Maintain a data base of new intake referrals
  • Perform accurate and timely fax intake and routing
  • Submit new intake requests on behalf of local Partners and manage all requests throughout the intake lifecycle
  • Perform the intake assessment per HOI policy
  • Coordinating all parts of the intake process to ensure all needed information
  • Provide clinical supervision of the intake staff and administrative oversight of the function
  • Refer inaccurate client files or records back to intake workers/specialists for resolution
  • Answer incoming inquiry calls for both intake admission and the front desk and schedule both new intake and routine client appointments
  • Assist the Assessment Unit at all sites by obtaining referral information from consumers, providers, and other agencies
  • Perform initial intake of correspondence received via mail, fax and email from Carriers/members
  • Train new secretaries, attorneys, and legal staff on use of matter intake workflow system
  • Perform data entry of patient intake information into computer system
  • Gather and summarize patient test data
  • Ensure the consistent entry of accurate information in Aderant during the file intake process consistent with firm protocols
  • Obtain intake data for all new acute/reconstructive inpatients, cleft lip & palate, as well as orthopedic patients

About the Company

A

A-Line Staffing Solutions

A-Line Staffing Solutions is a premier staffing company that supplies professionals to the Healthcare, Insurance, Pharmaceutical, and Information Technology industries. Founded in 2004, A-Line Staffing Solutions has been a leader in matching talented individuals to the jobs that our clients NEED to fill. We are experts at offering creative staffing solutions to employers, and we are hiring every day. A-Line Staffing can offer short-term, long-term and direct-hire opportunities to professionals across the United States. We hire only the most qualified and talented individuals in the country. Our recruiting, selection and stringent screening processes have strengthened our reputation for delivering quality customer service and unbeatable talent. For our commissioned clients, A-Line Staffing closely follows the standards and practices established by The Joint Commission. For all of our clients and employees, our commitment to continual improvement combined with a strict code of ethics provides an atmosphere of respect and unparalleled professionalism. To find out how A-Line Staffing Solutions can share our talent with you, please contact us today. We are eager to include you among our most valued and satisfied clients. If you are a professional and would like to learn more about open opportunities in your area, please contact us today. We are always searching for talented and enthusiastic professionals

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
2004
WEBSITE
http://www.alinestaffing.com/