Why BayCare?

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.

Summary:

Handles and processes customer appeals and grievances in accordance with established guidelines, company policies, and legal regulations. Receive and document customer appeals and grievances via multiple channels (phone, email, online portals) in systems.Ensure accurate and timely processing of all intake information according to company and regulatory standards. Assign cases to the appropriate departments for review and resolution. Serve as the first point of contact for customers who wish to appeal decisions or file grievances, ensuring that their concerns are properly documented and addressed. Prepare reports on the volume and status of appeals and grievances as requested by management. Maintain up-to-date knowledge of all relevant laws and policies. Adhere to deadlines for case resolution and reporting requirements.

Minimum Qualifications:

Required Education: HS Graduate or Equivalent GED

Required Experience: 

1 year of experience in Customer Service, Claims, Appeals, or Healthcare Administration. Previous experience in handling Appeals and Grievances is a plus. Knowledge of healthcare or insurance industry regulations is highly desirable.

Facility:

BayCare Health System, Tampa Startup-BHS

Location: BayCare System Office West

Status: Full Time, Exempt: No

Shift Hours: Varies

Shift: Days

Weekend Work: Occasional

On Call: No

How often will this team member be working remotely? Hybrid

Equal Opportunity Employer Veterans/Disabled