Case Coordinator


Streffco Consultants, Inc., is an international technical staffing and systems integration organization. We provide technology and business operations resources on a project, contract, contract-to-hire or direct hire basis.

Title: Case Coordinator
Job ID: 59560
Industry: Healthcare
Location: Oakland, CA.
Duration: 6 months
Pay Rate Range: Depends on Experience (W-2 all inclusive rate)


Daily Responsibilities:
Answering incoming calls from members/advocate requesting to file an expedited grievance and appeal
Managing incoming documents received by mail/fax
Routing cases and documents appropriately and timely
Assisting preparing cases for investigation and audits
Education:
Bachelor's degree OR one (1) year of experience in an HMO setting or 4 years in a customer service setting.
Required Experience and skills:
Minimum number of years of experience required: one (1) year of experience in an HMO setting or 4 years in a customer service setting.
Strong customer service skills
Multi-tasking
Conflict resolution
Desired Skills:
Experience in a healthcare setting
Knowledge of grievance and appeals process
Soft Skills:
Time management skills - due to a stringent time frames and if not met the Plan is heavily fined by our regulators
Claiming presence - ability to keep cool and professional when under pressure, including ability to influence others when things get hectic: many of our members are terminally ill - it's our case coordinators job to try to be the "rock" for the member who thinks the world is failing down due to their recent condition/diagnosis
Active listening skills - need to be able to listen to our member's problem then accurately assess the issue and find the best possible solution
Please respond by submitting your resume in a Word Document.
(Please include the job title and id# in the subject line)
We will not respond to everyone personally - qualified candidates will be contacted for an interview.


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