Appeals & Grievances Specialist

EPITEC; Detroit (MI); On-site; USD 50,000 - 70,000; Full time

Job summary

A healthcare service company is seeking a G&A Coordinator in Detroit, MI. This role involves processing appeals, grievances, and inquiries from members, requiring strong analytical and communication skills. The ideal candidate will have a bachelor's degree and experience in customer service. You will play a critical role in ensuring accurate and timely case decisions while managing multiple priorities in a fast-paced environment.

Qualifications

• Demonstrated ability to apply policies and procedures accurately.
• Experience working in a fast-paced environment with tight deadlines.
• Strong problem solving aptitude and attention to detail.

Responsibilities

• Process appeals, grievances, complaints, and inquiries from members.
• Analyze customer concerns and conduct necessary research.
• Make accurate case decisions based on gathered information.

Skills

Analytical mindset

Excellent written and verbal communication skills

Ability to analyze and conduct research

Education

Bachelor’s Degree in English, Communication, Health Care Administration

Tools

PC application and system skills

Job description

A healthcare service company is seeking a G&A Coordinator in Detroit, MI. This role involves processing appeals, grievances, and inquiries from members, requiring strong analytical and communication skills. The ideal candidate will have a bachelor's degree and experience in customer service. You will play a critical role in ensuring accurate and timely case decisions while managing multiple priorities in a fast-paced environment.