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Coordinator Complaint Appeals Jobs

Authorization Appeals Coordinator Jobs
By Fred Hutch At Seattle, WA, United States
Present denial information to Revenue Cycle Management.
Working knowledge of ICD-10, CPT and HCPS coding
Ability to apply knowledge of commercial payor and regulatory guidelines
Ability to organize and prioritize concurrent responsibilities.
Ability to troubleshoot and offer solutions for process improvement.
Initiates appeals for denied authorization requests.
Appeals And Grievances Coordinator
By Clear Spring Health At Miramar, FL, United States

Candidates should have working knowledge of Medicare and member services or work in a health plan or health plan supprting vendor.

Appeals Coordinator Jobs
By W3R Consulting At Detroit, MI, United States
Preferred Skills/Experience Previous health care or health insurance industry experience
Education/Certifications Bachelor’s Degree in English, Communication, Health Care Administration, or related field
Job Title: Appeals Coordinator- 100% remote
•Excellent written and verbal communication skills. Must be proficient in proofreading, spelling, grammar, punctuation, and math
•Previous customer service or concierge experience
•Strong PC application and system skills- having the ability to navigate multiple computer systems and databases
Coordinator Complaint Appeals Jobs
By CVS Health At , , Ca $17.00 - $27.90 an hour
Research Standard Plan Design or Certification of Coverage (Evidence of Coverage) relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
Research Standard Plan Design or Certification of Coverage relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
Experience in reading or researching benefit language
Serves as a content model expert and mentor to team regarding Aetna's policies and procedures, regulatory and accreditation requirements.
Excellent verbal and written communication skills
Excellent organizational skills to handle high inventory which aids in meeting or exceeding metrics