Medicare Claims Appeals Specialist
Company: VirtualVocations
Location: Anaheim
Posted on: September 21, 2024
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Job Description:
A company is looking for a Medicare Claims Appeals and
Grievances Specialist.
Key Responsibilities
Review and resolve member and provider complaints in compliance
with CMS standards
Research claims appeals and grievances, request medical records,
and prepare responses
Compose correspondence and document findings related to appeals and
claims processing
Required Qualifications
High School Diploma or equivalency
Minimum 2 years of operational managed care experience
Health claims processing background, including coordination of
benefits and eligibility criteria
Familiarity with Medicaid and Medicare claims denials and appeals
processing
Keywords: VirtualVocations, Anaheim , Medicare Claims Appeals Specialist, Other , Anaheim, California
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