Grow Healthy
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.
Job Overview
Under the direction of the Grievance & Appeals Manager, the Grievance & Appeals Coordinator is responsible for all administrative functions to support the Grievance & Appeals Department in accordance with established policies and procedures. Administrative functions include but are not limited to the intake, documentation, investigation, research and resolution of appeals and grievances presented by patients or their authorized representatives, contracted Health Plans, the Ombudsman office, providers, etc.
Minimum Requirements
1. High School Diploma or equivalent required. Associates degree or Bachelor's degree in a health related field preferred.
2. Minimum of 4 years' experience in a managed care or IPA setting required.
3. Knowledge of Medi-Cal, Medicare, Cal-Medi-Connect, Affordable Care Act, and Commercial lines of business.
4. Previous experience in a Member Services or Grievance & Appeals capacity identifying and resolving member complaints, grievances and appeals.
Compensation
$24.00 - $28.15 hourly
Compensation Disclaimer
Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.
Benefits & Career Development Medical, Dental and Vision insurance 403(b) Retirement savings plans with employer matching contributions Flexible Spending Accounts Commuter Flexible Spending Career Advancement & Development opportunities Paid Time Off & Holidays Paid CME Days Malpractice insurance and tail coverage Tuition Reimbursement Program Corporate Employee Discounts Employee Referral Bonus Program Pet Care Insurance Job Advertisement & Application Compliance Statement
AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.