Administrative Assistant

Healthcare Support Staffing; South San Francisco (CA); On-site; USD 27,552 - 34,440; Full time

Benefits offered by this job

Competitive salary

Medical benefits

Dental benefits

Vision benefits

Positive work environment

Job summary

A national healthcare recruiting firm is hiring for a role focused on resolving member complaints and maintaining grievance and appeals case files. The position requires excellent writing skills and strong customer service abilities. Candidates should be willing to learn and will work Monday through Friday, with a competitive salary ranging from $20 to $25 per hour. Benefits include medical, dental, and vision coverage in a fun and positive work environment.

Qualifications

• Must have excellent writing skills including drafting, editing, and summarizing.
• Strong customer service skills required for in-person and telephonic interactions.
• Ability to problem solve and demonstrate critical thinking.

Responsibilities

• Research and resolve member complaints across various business lines.
• Maintain grievance and appeals case files in the database.
• Communicate effectively with members and providers.
• Prepare summaries and resolution letters for members.

Skills

Excellent writing skills

Strong customer service skills

Problem solving

Critical thinking

Attention to detail

Organizational skills

General knowledge of Microsoft Office

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

• Research and resolve member complaints for all lines of business ensuring compliance with Grievance and Appeals policies and procedures.
• Maintain grievance and appeals case files in the database.
• Effectively communicate with members and providers verbally and in writing.
• Prepare summaries and write resolution letters for members, which includes summarizing member complaints and steps taken to resolve complaints in clear and grammatically correct language.
• Attend and present cases at bi-weekly Staff Grievance and Appeals Committee.
• Prepare files for appeals to regulatory agencies.
• Maintain current on all regulatory requirements as they apply to grievance and appeal processes.

Qualifications

• Must have excellent writing (drafting, editing, and summaries/compositions).
• Strong customer services skills (both in person and telephonic).
• Ability to problem solve, critical thinking, attention to detail, and stay organized.
• General knowledge of Microsoft Office Applications.
• Do NOT have to have Grievance and Appeals experience, but must have the willingness to learn

Additional Information

Hours for this Position: Monday through Friday between 7.30am and 5pm; can choose any variation of an 8 hour workday

Advantages of this Opportunity

• Competitive salary of $20-25/hour, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision
• Fun and positive work environment

Want to be considered?

If you are interested in applying to this position, please contact Jessica MacDonell and click the Green I’m Interested Button to email your resume.