Grievances and Appeals Analyst

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Grievances and Appeals Analyst - Hospital Customer Service 8927, OsloClient:

Professional Recruiting Consultants, Inc.

Location:

Oslo, Norway

Job Reference:

1c250df056d5

Job Views:

2

Posted:

16.04.2025

Expiry Date:

31.05.2025

Job Description:

This is a contract job opportunity with potential for permanent placement.

Position: Grievances and Appeals Analyst - Hospital Customer Service 8927

Location: Remote - must reside in Western Time Zone

Schedule: M-F 8 am - 5 pm

Projected duration: 6 months + potential extensions + potential for permanent placement

W2 pay: $33.50 per hour, benefits are available

Requirements:

1. Strong communication skills
2. Critical thinking
3. Excellent Excel and MS Suite skills

Will be analyzing complaints, working with spreadsheets, identifying sources, recommending corrective action plans, and communicating for resolution.

Ideal Candidate:

1. Medical Laboratory background
2. Understanding of medical coding terminology
3. Hospital or Medical Experience

Summary:

The main function of a Project Analyst is to interact with different departments across the enterprise to provide information in response to inquiries about services and to manage and resolve complaints.

A Project Analyst is responsible for determining the client and patient issues, offering workable solutions, or providing follow-up as needed.

Facilitates the investigation, documentation, review, and follow-up of client, patient, and internal concerns and complaints submitted through the company system.

Job Responsibilities:

1. Approve the resolution of client and patient service by authorizing activities such as investigation, corrective action, root cause analysis, and effectiveness review.
2. Function as an escalation point for clients and patients.
3. Approve the referral of unresolved customer grievances to designated departments for further investigation.
4. Review, monitor, and audit records of operations interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.
5. Obtain and examine all relevant information to assess the validity of complaints and determine probable causes.
6. Escalate unresolved issues promptly to the correct person(s).
7. Report on high-risk cases to executive-level management.

Skills:

1. Verbal and written communication skills
2. Attention to detail
3. Customer service skills
4. Interpersonal skills
5. Expert ability to work independently and manage time
6. Expert ability to accurately document and record client and patient information
7. Computer literate, including but not limited to Microsoft Word, Excel, and email

Education/Experience:

1. 5+ years customer service-related experience required
2. Bachelor's degree

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