Remote Health Plan Complaints and Grievances Coordinator I in Pittsburgh

Location: Pennsylvania

Compensation: Salary

Staff Reviewed: Thu, Nov 04, 2021

This job expires in: 1 days

Job Category: Management

Remote Level: 100% Remote

Weekly Hours: Full Time

Employment Status: Temporary

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A health care provider is filling a position for a Remote Health Plan Complaints and Grievances Coordinator I in Pittsburgh.

Individual must be able to fulfill the following responsibilities:

  • Organize all tasks within regulatory requirements/deadlines
  • Understand and interpret medical information, recognize trends, and identify opportunities for improvement within the Health Plan
  • Effectively utilize key internal and external Health Plan contacts, including: Health Plan staff, providers, and external review organizations, to help in this process

Position Requirements Include:

  • Associate degree or equivalent professional work experience
  • 1 year of experience in health care environment
  • Demonstrated success problem solving and decision making with a solid understanding of managed care principles
  • Proven excellent verbal and written presentation skills
  • PC literacy with proficiency in the use of Microsoft office products
  • Familiarity with ICD-10, HCPCS, and CPT4 coding and medical terminology

COMPLETE JOB DESCRIPTION

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