Grievances and Appeals Analyst

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Grievances and Appeals Analyst - Hospital Customer Service 8927, Oslo

Client: Professional Recruiting Consultants, Inc.

Location: Oslo, Norway

Job Category: Other

Job Reference: 1c250df056d5

Job Views: 82

Posted: 23.01.2025

Expiry Date: 09.03.2025

Job Description:

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

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

Job code: CVDJP00028927

W2 pay: $33.50 per hour (benefits are available)

Responsibilities:

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

Ideal Candidate:

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

Skills:

1. Verbal and written communication skills.
2. Attention to detail.
3. Customer service skills and interpersonal skills.
4. Expert ability to work independently and manage time.
5. Expert ability to accurately document and record client and patient information.
6. 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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