Remote Appeal & Grievance Intake Coordinator

Pride Health is hiring an Appeal & Grievance Intake Coordinator to support our client's healthcare facility in Phoenix, AZ. 
 
Job Details: 
Schedule:  Monday–Friday, 9:00 AM–6:00 PM
Location:  Remote (AZ)
Float / Coverage Area: N/A
Job Type: Local contract
Contract Length: 14-week contract (Possibility of an extension)
Pay Rate: $18.50/hour*
Mileage Reimbursement Rate (if applicable): N/A
*Pay offered is based on experience, expertise, credentialing, and education.  
 
Duties: 

• Perform triage, intake, and assignment of grievances and appeals.
• Create, maintain, and track case files and workflow records.
• Provide administrative and clerical support to G&A operations.
• Monitor workload tracking systems and ensure timely case handling.
• Support regulatory compliance and accuracy standards.
• Assist in reporting operational and performance data.

Requirements: 

• Education: High school diploma or GED
• License(s): N/A
• Certification(s): N/A
• Years of experience: Minimum 2 years of experience in an Appeal & Grievance Medicare or managed care environment.
• Skills/Specialties/Technology: Experience with Guiding Care, Salesforce, PIMS, HRP, and WIPRO is highly preferred.

Interested? Apply Today! 
 

#PHCNonClinicalZip

For workers in the United States, PrideGlobal and it's affiliates offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, pet insurance and employee discounts with preferred vendors.

Equal Employment Opportunity
PrideGlobal and it's affiliates are an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment
PrideGlobal and it's affiliates are a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations
We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.

Only applicable for Kentucky positions: For this type of employment, state law requires a criminal record check as a condition of employment. This applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793.