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Appeals Specialist I
Appeals Specialist IVirtualVocations • Richmond, Virginia, United States
Appeals Specialist I

Appeals Specialist I

VirtualVocations • Richmond, Virginia, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

A company is looking for an Appeals Specialist I (Remote).

Key Responsibilities

Analyze appeals and grievance correspondence, determining next steps for processing

Maintain accurate records and communication regarding appeals and grievances

Assist with unit projects and provide feedback for workflow improvement

Required Qualifications

High School Diploma or GED

3 years of experience in managed care, health care, or insurance payor environments

Preferred college degree

Knowledge of medical terminology

Experience with Medicare / Medicaid lines of business is a plus

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Specialist • Richmond, Virginia, United States

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