Grievances and Appeals Analyst - Hospital Customer Service 9012

Grievances and Appeals Analyst - Hospital Customer Service 9012

• Contract
• Job ID: BU82-2736200

This is a contract job opportunity. Potential for perm.Position: Grievances and Appeals Analyst - Hospital Customer Service 9012Location: Remote - must reside in Western Time ZoneSchedule: M-F 8 am - 5 pmProjected duration: 6 months +potential extensions + potential for permJob code: CVDJP00029012 W2 pay - $28.80 per hour benefits are available

Position: Project Analyst - Hospital Customer Service

Location: Remote – must reside in Western Time Zone

Benefits are available

Requires strong communication skills critical thinking, and excellent Excel and MS Suite skills

Will be analyzing complaints, working with spreadsheets, identifying source, recommending corrective action plan, and communicating for resolution.

Ideal Candidate:

Medical Laboratory background

Understanding of medical coding terminology

Hospital or Medical Experience

Summary:

The main function of a Project Analyst is to interact with different department across the enterprise to provide information in response to inquiries about services and to manage and resolve complaints.

A Project Analyst is responsible for determining the client and patient issue, offer workable solutions or providing follow-up as needed.

Facilitates the investigation, documentation, review and follow-up of client, patient and internal concerns and complaints which are submitted through the company system.

Job Responsibilities :

Approve the resolution of client and patient service by authorizing activities such as investigation, corrective action, root cause analyst and effectiveness review.

Function as escalation point for clients and patients.

Approve the referral of unresolved customer grievances to designated departments for further investigation.

Review, monitor and audit records of operations interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.

Obtain and examine all relevant information to assess validity of complaints and to determine probable causes.

Escalates unresolved issues promptly to the correct person(s).

Report on high-risk cases to executive level management.

Skills:

Verbal and written communication skills, attention to detail, customer service skills and interpersonal skills. Expert ability to work independently and manage their time.

Expert ability to accurately document and record client and patient information Computer literate, including but not limited to Microsoft Word, Excel and email. Education/Experience:

5+ years customer service-related experience required

Bachelor’s degree