Remote Grievance & Appeals Coordinator (Contract)

Pyramid Consulting, Inc; United States; Remote; USD 30,307 - 31,684; Full time

Benefits offered by this job

Health insurance (medical, dental, vision)

401(k) plan

Paid sick leave

Job summary

A leading healthcare consulting firm is seeking a Grievance & Appeals Coordinator for a remote position. This role involves processing and resolving member appeals and grievances while maintaining compliance with healthcare regulations and quality standards. Candidates should have 2-3 years of relevant experience, strong attention to detail, and excellent communication skills. The position offers a competitive pay range of $22.00 - $23.00/hour and various employee benefits, including health insurance and a 401(k) plan.

Qualifications

• 2-3 years of experience in appeals and grievance.
• Strong attention to detail and accuracy in documentation.
• Knowledge of healthcare regulations or compliance requirements.
• Familiarity with Medicare or Medicaid guidelines.

Responsibilities

• Review and resolve member appeals and grievance cases.
• Ensure accurate documentation and compliance with standards.
• Communicate with internal teams to support case resolution.
• Identify opportunities for process improvement.

Skills

Experience in appeals and grievance

Healthcare administration

Health insurance operations

Customer service in a regulated environment

Strong attention to detail

Knowledge of healthcare regulations

Communication skills

Analytical thinking

Problem-solving ability

Familiarity with Medicare/Medicaid guidelines

Education

High School Diploma or equivalent

Tools

Microsoft Word

Excel

Outlook

Teams

OneDrive

Job description

A leading healthcare consulting firm is seeking a Grievance & Appeals Coordinator for a remote position. This role involves processing and resolving member appeals and grievances while maintaining compliance with healthcare regulations and quality standards. Candidates should have 2-3 years of relevant experience, strong attention to detail, and excellent communication skills. The position offers a competitive pay range of $22.00 - $23.00/hour and various employee benefits, including health insurance and a 401(k) plan.