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Appeals Specialist

Appeals Specialist

VirtualVocationsOmaha, Nebraska, United States
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A company is looking for an Appeals Specialist II.

Key Responsibilities

Supports documentation and processing of appeals, disputes, and reconsiderations to ensure compliance with state and NCQA requirements

Reviews and investigates appeals requests to determine appropriate follow-up and ensures timely processing

Prepares correspondence and maintains documentation files related to appeals, disputes, and reconsiderations

Required Qualifications

High School diploma or GED

1-2 years of related experience

Knowledge of appeals process preferred

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Specialist • Omaha, Nebraska, United States

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