SafeRide Health is a technology and services company dedicated to closing the gap between healthcare need and access through modern, scalable non-emergency medical transportation. SafeRide transforms transportation from a cost center into a strategic lever... Backed by NEA.
About the role
SafeRide Health is seeking an experienced Complaints and Grievance Coordinator responsible for processing complaints and grievances, consisting of member grievances, appeals, and provider disputes. This role ensures that cases are resolved by client-specific requirements across all lines of business. Provide daily, weekly and monthly complaint and grievance updates to leadership
What they're looking for
- Minimum High school diploma or equivalent
- Minimum one (1) year in grievance and appeals processing
- Minimum one (1) year in an inbound call center environment
- Experience with Medicaid, Medicare, and NEMT guidelines
- Associate’s degree in relevant discipline
- Knowledge of health insurance programs and benefits
More about this role
SafeRide Health is seeking an experienced Complaints and Grievance Coordinator responsible for processing complaints and grievances, consisting of member grievances, appeals, and provider disputes. This role ensures that cases are resolved by client-specific requirements across all lines of business.
Primary Responsibilities
- Maintain contractual compliance and customer satisfaction
- Ensure that all assigned complaints and grievances are completed by the deadline and other contractual requirements
- Respond to Comment Letters and client inquiries and requests
- Ensure interactions remain positive and professional with all persons with whom you and the Complaints and Grievance Team interact in the course of your work, both internally and externally
- Researching the details and history of a case and creating a clear timeline of events
- Communicating, both orally and in writing, with members and providers as needed
- Updating members and providers regarding the progress of active and open cases
- Requesting, reviewing, sorting, and preparing data related to complaints and grievances
- Working with relevant departments to complete all necessary follow-up and research
- Complaint...
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