Grievance and Appeals Specialist

Healthcare Support Staffing; Louisville (KY); On-site; USD 12,501 - 17,805; Full time

Job summary

A national healthcare staffing firm is looking for a call center representative to handle routing and transferring of customer and provider questions related to claims. Ideal candidates will have a HS diploma or GED and experience in healthcare customer service or a call center. Proficiency in Microsoft Word and Excel is required, along with an ability to work in a metric-driven environment. The position offers $11/hour and requires flexibility to work Monday-Friday including potential weekends and overtime.

Qualifications

• Minimum education requirement is a HS diploma or GED.
• Experience in healthcare customer service or call center is necessary.
• Proficient in Microsoft Word and Excel.
• Ability to work in a metric-driven environment.

Responsibilities

• Work in a call center environment routing and transferring inquiries.
• Review and route correspondence to the correct department for resolution.
• Use various internal systems to manage correspondence.

Skills

Customer service experience

Proficiency with Microsoft Word

Proficiency with Microsoft Excel

Ability to work in a metric-driven environment

Education

HS Diploma/GED

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

Company Job Description/Day to Day Duties:

Candidates here will be working in a call center environment, mainly routing/transferring customer and provider questions in regards to claims to the appropriate departments

Responsibilities include reviewing and routing correspondence received from members, providers and appointed representatives to the correct department for resolution via CCP2 as well as other various internal Humana systems.

Qualifications

Minimum Education/Qualifications/Licensures:

HS Diploma/GED

Healthcare customer service/call center experience

Proficiency with Microsoft Word and Excel

Able to work within metric driven environment

Additional Information

Position pays $11/hour

Shift:

Must be able to work Monday-Friday, including some weekends and overtime

Potential shifts are: Must be okay with all of these shifts.