Appeals and Grievances SpecialistVirtualVocations • Abilene, Texas, United States
Appeals and Grievances Specialist
VirtualVocations • Abilene, Texas, United States
Hace más de 30 días
Tipo de contrato
- A tiempo completo
Descripción del trabajo
A company is looking for a Specialist, Appeals & Grievances.
Key Responsibilities
Research and resolve Provider No Surprises Act cases in compliance with CMS standards
Request and review medical records and bills to determine claims outcomes
Prepare correspondence and document findings related to Provider No Surprise Act cases
Required Qualifications
At least 2 years of managed care experience in a relevant environment
Experience in health claims processing and knowledge of Medicaid and Medicare regulations
Customer service experience
Strong organizational and time management skills
Proficiency in Microsoft Office suite or applicable software
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Grievance Specialist • Abilene, Texas, United States
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