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
Specialist • Omaha, Nebraska, United States