Case Manager Job at Artech L.L.C., Corona, CA

bEVybi83OVRseWExRnMrWW1VMmZlMUMvaEE9PQ==
  • Artech L.L.C.
  • Corona, CA

Job Description

Job description:

Hello,

I hope you are doing well.

Please review the job description and let me know if you are available and interested in the position below.

Job Title: Grievances & Appeals Specialist/Case Manager

Location: Remote Corona CA/ Portland Or- Remote

Duration: 12+ Months Contract

Client: HEALTHCARE

Total Position - 6

Job Description:

Required Level of Education and Preferred Level of Education: HS Diploma but bachelor’s is preferred

How many years of related experience are you looking for in your ideal candidate? 6 years customer service. Heavy writing and speaking with customers over the phone. Microsoft excel, word, really help. Healthcare environment is a plus. BlueShield, Aetna, Healthcare providers (this is a huge plus)

Expected Shift: M-F Normal business hours 8:30-5pm with opportunities for overtime.

Interview Process: 1 interview -phone interview (teams is preferred if possible)

Top Daily Responsibilities:

  • Research and respond to member grievances and appeals
  • Meet regulatory requirements
  • Improve Member Experience

Top (3) Required Skills Candidate Should Have:

  • Background in grievance and appeals case processing.
  • Strong organizational and time management skills
  • Ability to multi-task in a fast-paced environment

Additional Skills Preferred

  • Strong knowledge of federal & state regulations and Medicare/Medi-Caid regulations.
  • Ability to compose high quality, detailed written communication.
  • Excellent interpersonal, verbal and written communication skills.

Job Tags

Contract work, Remote work, Shift work,

Similar Jobs

Community College of Allegheny County

Adjunct Dance Job at Community College of Allegheny County

 ...Adjunct Dance Position Title: Adjunct Dance Department: Academics Campus: College Wide Additional Information: Please note: If you are a PSERS retiree, per PSERS guidelines, employment by the College as an adjunct faculty member will result in the suspension... 

VRX, Inc.

Construction Project Inspector Job at VRX, Inc.

 ...project, and asset management.Established in 2006 by longtime construction engineer Noelle Ibrahim, PE, VRX is a woman-owned professional...  ..., Design Standards Manual, and contract terms Occasional night-time work may be required based on project demands Qualifications... 

Dollar Tree Stores

Workforce Management Specialist Job at Dollar Tree Stores

 ...and support the day to day payroll management functions related to forecasting, scheduling, and Time and Attendance for all Dollar Tree and Family Dollar Stores. Key areas of focus will include reporting and analysis, store and field level budget allocations,... 

SGS Consulting

Recruiter II Job at SGS Consulting

 ...HR professionals and technical teams. Skills: Minimum 5 years of experience as full cycle recruiters Experience with ICIMS ATS Experience in recruiting engineering roles like electrical engineer, Mechanical engineer, civil engineer and nuclear engineers... 

Medical Services of America

Registered Nurse Hospice Part-Time/PRN Job at Medical Services of America

 ...Albemarle Home Care & Hospice , a division of Medical Services of America, Inc., currently seeks a Part-Time/PRN Registered Nurse for our Hospice patients in Dare, Currituck, Camden, Pasquotank, Perquimans, Chowan, Gates, NC. Regularly reevaluates the nursing...