Employer Industry: Healthcare Services

Why consider this job opportunity:
- Base salary up to $24 per hour
- Annual employee bonus program
- Robust Wellness Program and generous paid time off (PTO)
- Excellent 401(k) Retirement Savings Plan with employer match
- Opportunities for professional development and tuition reimbursement
- Work-life balance in a mission-driven organization

What to Expect (Job Responsibilities):
- Investigate member grievances and appeals by gathering supporting documentation from various sources
- Communicate with members or providers to request and gather pertinent information
- Track and monitor the movement of assigned cases to ensure compliance with designated timelines
- Respond to requests for information from regulatory agencies within required timeframes
- Maintain confidentiality and adhere to all quality and regulatory standards

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

How to Stand Out (Preferred Qualifications):
- Experience in a professional customer service environment
- Familiarity with healthcare benefit structures related to grievances and appeals
- Proven ability to maintain confidentiality in sensitive situations

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