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    Grievance and Appeals - Woodland Hills, United States - Randstad USA

    Randstad USA
    Randstad USA Woodland Hills, United States

    2 weeks ago

    Randstad USA background
    TEMPORARY, Full time
    Description
    Our client, a large healthcare company, is looking for Grievance and Appeals Representatives to work remote/work from home. This is a temp to perm role and a great way to get your foot in the door with a large company. Please ensure that all resumes are updated with previous employment and contact information.

    salary: $21 - $22 per hour
    shift: First
    work hours: 8 AM - 4 PM
    education: High School

    Responsibilities

    speaking with members, documenting, researching (utilizing different material and navigating through systems, reaching out to providers & members, communicating with internal and external parties), formulating responses in writing to members (writing skills are extremely important for this role), will need to meet deadlines.

    Skills
  • Empathy
  • Extrusion
  • Order Filling
  • Basic Software Skills
  • Math and Calculation
  • Pension and Trusts
  • Operations
  • Sorting
  • Adapting to Change
  • CRM
  • Typing Skills
  • Follow-up
  • Active Listening
  • Telephone Etiquette
  • Interpersonal Sensitivity
  • Geography
  • Motivating
  • Industry Representative
  • Spending Analysis and Control
  • State and Local Compliance
  • Management Discussion and Analysis
  • Operational and Strategy Alignment
  • Supervising
  • Basic Computer Skills
  • Commercial and Industrial Lending
  • Call Center Support
  • Patient Support
  • Stacking
  • Math
  • Project Management Methodologies and Frame...
  • Project Management Skills and Tools
  • Time and Accuracy Improvement of Financial
  • Influencing
  • EMR
  • EHR/Epic
  • General Accounting and Finance Skills
  • ERP
  • Managing
  • State and Local Planning
  • Transaction Readiness and Support
  • Lifting
    Qualifications
  • Years of experience: 3 years
  • Experience level: Experienced
    Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

    Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

    At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact

    Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

    Applications accepted on ongoing basis until filled.

    Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

    We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.



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