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Case Manager (Corona)
Case Manager (Corona)Artech L.L.C. • Corona, CA, US
Case Manager (Corona)

Case Manager (Corona)

Artech L.L.C. • Corona, CA, US
9 hours ago
Job type
  • Part-time
  • Temporary
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 bachelors 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.
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    Case Manager • Corona, CA, US