Entry Level Appeals SpecialistVirtualVocations • Sioux Falls, South Dakota, United States
Entry Level Appeals Specialist
VirtualVocations • Sioux Falls, South Dakota, United States
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A company is looking for an Associate Specialist, Appeals & Grievances - Remote.
Key Responsibilities
Enter denials and requests for appeals into the information system and prepare documentation for review
Research claims issues and assure timeliness and appropriateness of appeals according to guidelines
Generate and mail denial letters while collaborating with member and provider services to resolve complaints
Required Qualifications
At least 1 year of experience in claims or customer / provider service in a health care setting
Customer service experience
Organizational and time management skills
Proficiency in Microsoft Office suite or applicable software programs
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Entry Level Specialist • Sioux Falls, South Dakota, United States