Sparrow Health System Job - 43407952 | CareerArc
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Company: Sparrow Health System
Location: Lansing, MI
Career Level: Associate
Industries: Healthcare, Pharmaceutical, Biotech

Description

Job Opportunity Job ID: 33204 Positions Location: Lansing, MI   Job Description   General Purpose of Job:   Description:

Positions Location: Lansing, MI

 

Job Description

 

General Purpose of Job:  

The Intake Specialist assists the Grievance and Appeal Coordinators with PHP Member appeal/grievance processes

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis.  Caregivers may be asked to perform additional duties as assigned by their leader.  Leadership has the right to alter or modify the duties of the position.

 

  • Evaluate and process Grievances and Appeals per established processes and approved departmental policies
  • Assign and distribute Grievances and Appeals to appropriate coordinator
  • Perform and document outreach tasks (outbound calls or faxes) to obtain information necessary for processing Grievances and Appeals
  • Ensure Grievances and Appeals are finalized within the required turnaround time (TAT) in accordance with applicable laws and company policies
  • Provide and document required member and/or provider verbal notifications and review final written notifications for appropriateness
  • Prepare grievance packets for accreditation reviews
  • Prepare and mail Grievance packets and set up Grievance hearings
  • Provide excellent customer service and exhibit interpersonal communication skills (listening/verbal/written) when communicating with members and/or providers, collaborating with internal departments to address issues and inquiries and when interacting with co-workers
  • Must possess the ability to adapt to departmental changes as required for the needs of the business
  • Responsible for scheduling committee meetings and documentation of minutes
  • Prepare and distribute ad-hoc reports  
Job Requirements Work Experience\u2022 Two years\u2019 experience in a health care industryEducation\u2022 High school diploma or general education diploma (GED); Specialized Knowledge and Skills\u2022 Strong skills in Microsoft Office programs, with an emphasis on Word, Excel, PowerPoint, and Adobe \u2022 Strong organizational abilities \u2022 Ability to complete multiple projects with aggressive and competing timelines and due dates \u2022 Strong verbal and written communication skills \u2022 Must be able to reprioritize responsibilities in response to urgent, immediate issues that can be high profile or highly sensitive \u2022 Excellent proofreading abilities and accurate data entry skills \u2022 Demonstrates ability to use a keyboard as may be required to perform the essential duties of the job. \u2022 Able to work independently, with minimal supervision and work well in groups when required

*This position offers remote work arrangements within the state of Michgian.*

Sparrow Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.

Job Family Administrative/Clerical Requirements: Shift Days Degree Type / Education Level High School / GED Status Full-time Facility Physicians Health Plan Experience Level Under 4 Years


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