A-Line Staffing is now hiring Healthcare Appeals and Grievances Coordinators in Sacramento/Natomas or Woodland Hills, CA. The Healthcare Appeals and Grievances Coordinator would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week. This position is mostly remote with some on-site travel needed. Healthcare Appeals and Grievances Coordinator Compensation The pay for this position is $23.00 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 Healthcare Appeals and Grievances Coordinator Highlights The required availability for this position is Monday through Friday, 8:00 AM to 4:30 PM PST 8-week mandatory training is Monday through Friday, 8:00 AM to 4:30 PM PST Position is primarily remote , but candidates must live within commuting distance of the Natomas/Sacramento or Woodland Hills company hub Overtime may be required based on business needs Occasional Saturdays and holidays may be required with advance notice Healthcare Appeals and Grievances Coordinator Responsibilities Process and resolve member appeals and grievances accurately and within required timeframes Research member cases and gather information needed for resolution Maintain accurate and detailed case documentation Handle complex and compliance-related cases Communicate professionally and empathetically with members and internal teams Research and resolve issues while maintaining quality and accuracy standards Collaborate with cross-functional teams and support process improvement initiatives Manage multiple cases and competing priorities in a fast-paced environment Healthcare Appeals and Grievances Coordinator Requirements 2-3 years of relevant experience in healthcare, insurance, appeals and grievances, or customer service within a regulated environment Strong research, problem-solving, and organizational skills Strong attention to detail and accuracy Excellent written and verbal communication skills Experience handling complex cases or compliance-related tasks Ability to work independently and collaboratively High School Diploma or GED Attendance is mandatory for the first 90 days Healthcare Appeals and Grievances Coordinator Preferred Qualifications Associate's Degree Experience with healthcare regulations or health plan compliance Knowledge of Medicare and/or Medicaid guidelines Previous appeals and grievances experience Experience handling sensitive cases and resolving conflicts professionally Strong letter writing and written communication skills Project coordination experience in a fast-paced environment If you think this Healthcare Appeals and Grievances Coordinator position is a good fit for you, please apply to this posting! ESJSV1

Pay:

$23.00 per hour

Benefits:

Dental insurance Health insurance Vision insurance Application Question(s): This position is remote, but you must live within commuting distance of either Natomas/Sacramento, CA or Woodland Hills, CA and be able to report to the company hub on rare occasions. Which location would you be commuting to? Please describe your experience working in healthcare, health insurance, managed care, or another regulated environment, including your experience handling appeals, grievances, complaints, disputes, or other complex cases. What types of cases have you handled, what was your role in resolving them, and have you had to research information from multiple sources to determine an appropriate resolution? (1-3 Sentence Response)

Work Location:

Hybrid remote in Woodland Hills, CA 91367