A-Line Staffing is now hiring Remote Grievance and Appeals Analysts! The Remote Grievance and Appeals Analyst would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week.

If you are interested in this Remote Grievance and Appeals Analyst position, please contact Jacob Ward call or text at 586-710-7966 or jward@alinestaffing.com

Remote Grievance and Appeals Analyst 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

Remote Grievance and Appeals Analyst 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 M-F 8am-5pm

Remote Grievance and Appeals Analyst Responsibilities

• Responsible for complex and thorough investigation of Medicare appeals from a non-contracted provider which may include: gather all relevant information for the appeal request (external medical records, internal documentation from enterprise-wide systems including: claims payments, billing and enrollment, care management, medical, pharmacy and behavioral health authorizations, customer service interactions, prescription claims, medical policies, and plan documents)

If you think this Remote Grievance and Appeals Analyst position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!

Jacob Ward

586-710-7966

jward@alinestaffing.com

Remote Grievance and Appeals Analyst Requirements

• Required Associate's Degree or equivalent
• Preferred Bachelor's Degree or equivalent
• 5 years of relevant experience Grievance & or Appeal Analyst or related experience Required
• 3 years of relevant experience Member or Provider Customer service, Claims, Legal and/or enrollment/eligibility Preferred
• Extensive knowledge of managed care products and regulatory and accreditation requirements; Maintain knowledge of policies and procedures, including medical policies which may impact the grievance, appeal and review processes Preferred