Hybrid Grievance / Complaint Coordinator

Job DescriptionLocal Hybrid Grievance / Complaint Coordinator for a 3+ Month contract assignment Hybrid, mostly remote (locals only)Will need to work onsite if internet/power connections prevent effective completion of work.Shift: M-F, 8-5pm.Pay Rate: Up to $24/hr W2+Benefits*** Fully Covid Vaccinated + Booster Required - No Exemptions ***We are looking for someone who has direct experience handing complaints and grievances within a large hospital setting.Will consider candidates who have 6+ months of experienceCandidates must have the following experience and shown their resume:Experience researching and responding to member grievances and appeals, while meeting regulatory requirements. A background in grievance and appeals case processingStrong knowledge of federal & state regulations and Medicare/Medi-Caid regulations. Ability to compose high quality, detailed written communicationExperience with EPICIn this position, this person will be:Responsible for handling the review process for grievances, appeals, or denials including investigating, preparing and presenting appropriate materials for review. Resolving member concerns in partnership with internal and external departments while ensuring compliance with regulatory rules and timeframes, within mandated timeframes and compliance. Ensuring appeal are processed in accordance with regulations, compliance standards and policies and procedures. Meeting timeframes for performance with balancing the need to produce high quality work related to complex, and sensitive member issues. Investigating all issues, including collection of appropriate data, preparation and presentation of documents to decision makers. Company DescriptionWe believe there is a fundamental need for independent financial advice across America and investors achieve better outcomes when working with a financial advisor. We provide resources, coaches, technology, access to subject matter experts and solutions to financial advisors nationwide.We believe there is a fundamental need for independent financial advice across America and investors achieve better outcomes when working with a financial advisor. We provide resources, coaches, technology, access to subject matter experts and solutions to financial advisors nationwide.