Grievance & Appeals Coordinator I

Location: Remote in Illinois preferred; work schedule follows Central Time Zone business hours, Monday–Friday.

Pay: $19.43–$32.98 per hour.

Company

hirify.global provides healthcare services supporting access to care for individuals, families, and communities.

What you will do

• Analyze and resolve verbal and written claims and authorization appeals from providers.
• Gather, analyze, and report member and provider complaints, grievances, and appeals.
• Prepare response letters and maintain files for individual appeals and grievances.
• Support the Grievance and Appeals Committee when needed.
• Support pay-for-performance and HEDIS activities through data entry, provider calls, tracking, organization, and claims research.
• Manage high volumes of documents, including incoming mail, copying, faxing, and scanning.

Requirements

• High school diploma or equivalent.
• At least 2 years of experience in grievances, appeals, claims, managed care, or a related area.
• Ability to work remotely while following Central Time Zone hours.
• Ability to manage detailed documentation, research information, and handle high volumes of work.

Nice to have

• Associate’s degree.

Culture & Benefits

• Health insurance, 401(k), and stock purchase plans.
• Tuition reimbursement, paid time off, and holidays.
• Flexible remote, hybrid, field, or office work schedules across the organization.
• Overtime may be offered as needed.