HealthCare Support Staffing

At HealthCare Support, we specialize in offering healthcare professionals a seamless, red-carpet experience throughout their travel journey. Whether you're a nurse, therapist, or allied health professional, we're dedicated to matching you with top-rated facilities nationwide to help you take the next step in your career. With 20 years of industry experience and strong relationships with respected organizations across all 50 states, we offer opportunities at leading health systems, hospitals, specialty clinics, and post-acute facilities. Thanks to our direct client partnerships and national MSP programs, you'll have the flexibility to work where you want and go wherever your adventure takes you. Partner with HealthCare Support and experience a travel career where you can count on us every step of the way. Your next opportunity is waiting—let us connect you to the adventure of a lifetime!

New Job!   HCS Job Title: Grievance & Appeals Coordinator Company Job Title: Grievance & Appeals Coordinator I Working with TA Jordan Smith Vaccination NOT REQUIRED  # of Openings:  2 If Contract, Length of Assignment:  3 months MU or BR:  60% MU Compensation Notes:  $22 to $22 an hour Location:  Remote in WA Shift: M-F 8-5 Start Date: ASAP Interview Times/Interviewer: Virtual with HM Minimum Education/Licensures/Qualifications: Must include city and state on resume

• 1+ year of healthcare experience - preferably in grievance, appeals, claims or denials but call center from MCO background would work too
• Data entry skills
• Proficiency in Excel
• HS Diploma or GED

Soft Skills Required:

• Good written communication skills
• Ability to work independently, please specify if any positions on resume were remote

Types of Candidates to Submit to Sales Rep: Best Candidate: Grievance and Appeals Coordinator with 2+ years of recent experience from MCO setting Second Best Candidate: Denials or Claims Specialist with 2+ years of recent experience from MCO setting Third Best Candidate:  CSR/MSR with 2+ years of recent experience from MCO setting Day to Day Duties: The focus for the position will be solely on post payment appeals, not member appeals. Provides basic grievance and appeals guidance and support to a limited number of providers. Resolve grievances and appeals, which includes:

• Sending the appropriate acknowledgement of the grievance/appeal; Providing education about the grievance/appeal process and the right to appeal to state or federal agencies (if applicable);
• Gathering all pertinent and relevant information regarding the grievance/appeal, determining the appropriate resolution of the grievance/appeal per standard policies and procedures; and
• Notifying the appropriate parties of the resolution and ensuring that all internal processes are completed to resolve the issue.
• Conducts non-biased, accurate, timely and comprehensive investigation of all the facts related to the grievance/appeal.
• Thoroughly documents all action taken on behalf to resolve the grievance/appeal.
• Ensures that all grievances/appeals are processed in adherence to state and federal regulations, contractual obligations, NCQA guidelines and Plan policy.
• Prepares clear, objective, accurate and comprehensive case histories.
• Maintains accurate and timely documentation, including complete files of all grievances/appeals.
• Non-Exempt - Reporting to work on time and for all scheduled shifts is essential to this position.
• Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion.