Contacts: Contact with patients, former patients, billing department representative, and management daily. Referrals to other resources daily to include, but are not limited to nurse managers, administration, medical staff, nurse peer review, Quality Department, risk management Department, Patient Experience Department, and Human Resources. Contact with executive staff and system employees. Contact with corporate attorney’s and outside counsel.
Education: Bachelor’s degree required. Paralegal certificate preferred.
Experience: Three years of work experience in healthcare or customer service field required. Demonstrated experience or training in Joint Commission complaints processes and CMS Conditions of Participation related to complaints and grievances required. Five years of experience in the legal field, customer service or healthcare preferred. Prior experience working with grievances and appeals strongly preferred. Knowledge of RSFH organizational structure strongly preferred.