Overview
As a Grievance Case Manager, you will be responsible for communicating with payors, managing the intake of grievances, and responding to the grievances. The ideal candidate will have excellent writing and organizational skills with a background in dentistry (or healthcare) and the ability to work Monday through Friday at our Corporate Offices in Orange, CA.
About Sonrava: Sonrava Health is the parent organization of a national family of health and wellness companies, united by a singular dedication to delivering high-quality, convenient and affordable care through innovative provider models, health coverage and product offerings.
Responsibilities
- Responsible for the data entry intake of and responding to insurance companies regarding grievances, including submitting dental records and a written response addressing the issues raised in the grievance.
- Coordinates submission of responses and dental records to various requestors as well as other administrative duties.
- Responsible for monitoring and processing communications such as incoming emails and faxes from payors and other non-payor agencies.
- Process account adjustments in accordance with established guidelines.
- Meet required deadlines.
- Assist QM Manager or Department Management with various duties.
Qualifications
- Excellent verbal and written communication.
- Ability to work in a regulatory environment with very strict timeliness and accuracy requirements.
- Strong problem-solving abilities.
- Dedication to excellent service.
- Strong organization and follow-up skills.
- Team-player mentality.
- Knowledge of Microsoft Office (Excel and Word).
- Bachelor’s degree or equivalent combination of education and experience.
Sonrava Health offers a competitive benefit package designed to enhance the lives of our team members. Team Members are eligible for benefits based on his or her full-time status:
- Paid Time Off (PTO)
- Healthcare Insurance (Medical & Dental)
- Vision Coverage
- 401(k)
- Professional Training
- Career Advancement Opportunities
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