Employer Industry: Healthcare Services

Why consider this job opportunity:
- Base Pay Range: up to $32.21
- Opportunity for annual employee bonus program
- Work remotely from anywhere within the U.S.
- Generous paid time off (PTO) and 11 paid holidays per year
- Excellent 401(k) Retirement Saving Plan with employer match
- Chance to make a positive impact on members and the community

What to Expect (Job Responsibilities):
- Investigate member grievances and appeals by gathering supporting documentation
- Communicate with members or providers to request and document pertinent information
- Track and monitor assigned cases to ensure compliance with timelines
- Respond to regulatory agency requests for information within required timeframes
- Maintain member privacy and adhere to quality, compliance, and regulatory standards

What is Required (Qualifications):
- High School Diploma or equivalent combination of education and experience
- Minimum of 2 years in customer service and/or grievance and appeal in a healthcare setting
- Strong interpersonal skills, including excellent written and verbal communication
- Strong organizational skills with the ability to multitask
- Strong analytical and critical thinking skills

How to Stand Out (Preferred Qualifications):
- Experience providing professional customer service in a healthcare environment
- Familiarity with grievance and appeals processes in a healthcare setting

#HealthcareServices #RemoteWork #CareerOpportunity #EmployeeBenefits #EqualOpportunityEmployer

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.