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Appeals Coordinator II

Appeals Coordinator II

VirtualVocationsOmaha, Nebraska, United States
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A company is looking for an Appeals Coordinator II to assist with administrative work in the Appeals Department.

Key Responsibilities

Prepare and disseminate case files for External Reviews and State Fair Hearings

Manage and monitor all appeals from Non-Participating providers

Ensure timely review, research, and resolution of appeals, grievances, and complaints

Required Qualifications

Associates Degree or equivalent related experience

3+ years' experience in the healthcare industry

Experience in inpatient claims, DRG, and High-Cost Outlier claims preferred

Knowledge in claim payment methodology

Good MS Office skills, particularly in Excel

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Coordinator Ii • Omaha, Nebraska, United States

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