Grievance & Appeals Coordinator

Company: kyyba
Location: Detroit
Posted on: April 5, 2025

Job Description:

Subject : Multiple Opening for Grievance & Appeals Coordinator for Healthcare client in MI

Increase your chances of an interview by reading the following overview of this role before making an application.



Job Title: Grievance & Appeals Coordinator
Are you a Grievance & Appeals Coordinator seeking a dynamic and rewarding opportunity? Our client, a leading company in Healthcare, is looking for a talented Grievance & Appeals Coordinator to join their growing team in Detroit, MI.


About Kyyba:


Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence
delivering high-quality resources and top-notch recruiting services, enabling businesses to
effectively respond to organizational changes and technological advances.
At Kyyba, the overall well-being of our employees and their families is important to us. We are
proud of our work culture which embodies our core values; incorporating value, passion,
excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We
empower our employees with the resources, incentives, and flexibility that they need to support
a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced
compensation structure combined with career development.

Kyyba is recruiting for the below mentioned position with our direct client which is one of the major Healthcare Payers in the US.



Job Description


Will this position be required to work onsite for any reason at any time? No, fully remote

Engagement Description -
Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Contact customers to gather information and communicate disposition of case. Conduct pertinent research in order to evaluate, respond to, and finalize case. Familiar with standard concepts, practices, and procedures for analyzing, interpreting data and applying contract and regulatory provisions. High School Diploma or GED required. Bachelor's Degree in English, Communications or related field preferred. Two (2) years customer service experience required. Two (2) years health insurance experience and familiarity with health insurance state and federal regulations preferred. Strong project management skills preferred.


Top 3 Required Skills/Experience -
--- Experience handling a large load of work in a fast-paced environment and have computer skills!
--- Insurance, Medicare/CMS knowledge
--- Customer Service Experience

Required Skills/Experience - The rest of the required skills/experience. Include:
--- Writing Letters
--- Analytical thinker
--- Research Skills
--- Multi-task

Preferred Skills/Experience - Optional but preferred skills/experience. Include:
--- Grievance and Appeals experience.
--- Degree in Healthcare/computer skills
--- Experience in analyzing a claim
--- Experience in classification between a grievance/appeal/organizational determination.
--- Letter writing
--- Basic computer skills. How to save a PDF, how to navigate excel, learning new systems

Education/Certifications - Include:
--- Healthcare, English,

Disclaimer:

Kyyba is an Equal Opportunity Employer.

Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. Minorities / Females / Protected Veterans / Individuals with Disabilities are encouraged to apply. All employment is decided on the basis of qualifications, merit, and business need."

It is the policy of Kyyba to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Kyyba at 248-813-9665



Rewards:

Medical, dental, vision

401k

Term life

Voluntary life and disability insurance

Optional Pre-paid legal plan

Optional Identity theft plan

Optional Medical and dependent FSA

Work-visa sponsorship

Opportunity for advancement

Long-term assignment with opportunity for hire by client



SELECT AWARDS

An INC 5000 company for 10 years
Corp! Michigan Economic Bright Spots
Crain's Detroit Business Top Staffing Service Companies in Detroit
TechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions
Best of MichBusiness winner in HR Wizards & Partnerships
Metro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest
101 Best & Brightest Companies to Work for in Michigan

Keywords: kyyba, Detroit , Grievance & Appeals Coordinator, Other , Detroit, Michigan