Administrative Assistant

• Research and resolve member complaints for all lines of business ensuring compliance with Grievance and Appeals policies and procedures.
• Maintain grievance and appeals case files in the database.
• Effectively communicate with members and providers verbally and in writing.
• Prepare summaries and write resolution letters for members, which includes summarizing member complaints and steps taken to resolve complaints in clear and grammatically correct language.
• Attend and present cases at bi-weekly Staff Grievance and Appeals Committee.
• Prepare files for appeals to regulatory agencies.
• Maintain current on all regulatory requirements as they apply to grievance and appeal processes.

• Must have excellent writing (drafting, editing, and summaries/compositions).
• Strong customer services skills (both in person and telephonic).
• Ability to problem solve, critical thinking, attention to detail, and stay organized.
• General knowledge of Microsoft Office Applications.
• Do NOT have to have Grievance and Appeals experience, but must have the willingness to learn

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States.

HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!