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Role: Medicare/Healthcare Appeals & Grievances
Location: Remote
Duration: 8+ Months
Interview Mode: Telephonic/Skype-Webx
Work from Home Requirements:
Responsibilities:
Candidate will be working within multiple systems to review, research and provide a decision to various types of member grievances in a Medicaid Health Insurance Plan while ensuring compliance with state and federal laws.
Some outbound calls would be required as research to provide grievance decisions
Ability to create accurate written correspondence focused on member/customer satisfaction
Organizational skills including attention to detail, proactive problem solving and multi-tasking in order to meet required client metrics
Analytical and problem solving skills required
Must possess clear, concise and professional written and verbal communication skills
Proficiency to include Microsoft Excel, Word, Outlook and Teams
Ability to work independently as well as in a team environment while working remotely
Knowledge in Healthcare Insurance, medical and prescription claims for Medicaid plans
Ability to meet production and quality goals
Ability to work scheduled hours 8 am to 4:30 pm EST Monday through Friday -possibility of flex schedule once training is complete
Regards,
Rahul Yadav
(408) 560-3956
rahul@reqroute.com
Medicare/Healthcare Appeals & Grievances
WFM, RemoteRole: Medicare/Healthcare Appeals & Grievances
Location: Remote
Duration: 8+ Months
Interview Mode: Telephonic/Skype-Webx
Work from Home Requirements:
Responsibilities:
Candidate will be working within multiple systems to review, research and provide a decision to various types of member grievances in a Medicaid Health Insurance Plan while ensuring compliance with state and federal laws.
Some outbound calls would be required as research to provide grievance decisions
Ability to create accurate written correspondence focused on member/customer satisfaction
Organizational skills including attention to detail, proactive problem solving and multi-tasking in order to meet required client metrics
Analytical and problem solving skills required
Must possess clear, concise and professional written and verbal communication skills
Proficiency to include Microsoft Excel, Word, Outlook and Teams
Ability to work independently as well as in a team environment while working remotely
Knowledge in Healthcare Insurance, medical and prescription claims for Medicaid plans
Ability to meet production and quality goals
Ability to work scheduled hours 8 am to 4:30 pm EST Monday through Friday -possibility of flex schedule once training is complete
Regards,
Rahul Yadav
(408) 560-3956
rahul@reqroute.com
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ReqRoute, Inc is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law. (www.reqroute.com)
ReqRoute, Inc is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law. (www.reqroute.com)