Job Information
Randstad US grievance and appeals coordinator in columbus, Ohio
grievance and appeals coordinator.
columbus , ohio
posted april 10, 2024
job details
summary
$19.99 - $20 per hour
temp to perm
high school
category healthcare support occupations
referenceAB_4511266
job details
A trusted client of Randstad's has an immediate opening for an experienced Grievance and Appeals Coordinator. This is a hybrid role located in Columbus, OH. First month would be fully onsite with hybrid worked in after. Must be experienced with grievance and appeals, claim denials, medical terminology and CPT codes. If interested, and send your resume with the subject line "Grievance and Appeals" to megan.perri@randstadusa.com
salary: $19.99 - $20 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members.
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
Skills
Claim Denials
CPT Codes
Qualifications
Years of experience: 1 year
Experience level: Experienced
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
Applications accepted on ongoing basis until filled.
get in touch
we are here to help you with your questions.
MP
megan perri
+1 602 200 3916 (tel:+1 602 200 3916)
megan.perri@randstadusa.com