Grievance Coordinator Resume

When writing a Grievance Coordinator Resume remember to include your relevant work history and skills according to the job you are applying for. Whether you're seeking an entry-level position or have been in your career for a few years, exposing your relevant achievements in your resume can allow you to stand out and get that job interview.

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Here is the Grievance Coordinator Resume example:

Evelyn Gunderson

239 Briercliff Road

Staten Island, NY 10314

(555)-555-5555

[email]

Job Objective To obtain a Grievance Coordinator position that fully utilizes my experience and abilities.

Work Experience:

Grievance Coordinator, May 2004 – Present

Fox, Staten Island, NY

Supported Risk Management functions by conducting referral investigations, researching grievance requests, and trending events.
Provided prompt, accurate, detailed responses of resolutions in accordance with Centers for Medicare and Medicaid Services (CMS) guidelines.
Ensured accurate and timely completion of each case.
Provided timely status updates concerning requests.
Provided trend data and other reports to the Performance Improvement Council.
Collaborated with hospital leadership for investment implementation through timely resolution and process improvement methods.

Grievance Coordinator, March 2002 – April 2004

Intel,inc., Staten Island, NY

Monitored grievance process to ensure compliance with federal and state regulations.
Made recommendations on process and policy modifications and improvements.
Compiled information and data from, analyzed information, prepared written summaries, and made recommendations.
Served as the primary resource and point of escalation for the Grievance Coordinator.
Assisted in training and educating Alliance staff on the grievance process.
Developed and maintained Grievance and Member Services Department policies, procedures and processes, and compliance assessments.

Summary of Qualifications:

Extensive customer service experience in health insurance environment
Excellent knowledge CMS, joint commission regulations and grievances
Sound knowledge of Medicaid Managed Care laws, regulations and benefits
Ability to document oral information received into accurate and concise written narratives
Profound knowledge of hospital operating systems
Proficient with PC and MS word and excel
Excellent organization and follow through skills
Strong critical thinking, object problem solving and prioritization skills
Outstanding time management skills
Remarkable ability to meet deadlines

Education

Bachelor of Science in Nursing, Cardinal Stritch University, Wisconsin, WI