Medicare Claims Appeals Specialist
Company: VirtualVocations
Location: Torrance
Posted on: October 12, 2024
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Job Description:
A company is looking for a Medicare Claims Appeals and
Grievances Specialist.
Key Responsibilities
Review and resolve member and provider complaints in compliance
with CMS standards
Research claims appeals and grievances, including medical records
and billing details
Prepare written responses and appeal summaries while ensuring
regulatory compliance
Required Qualifications
High School Diploma or equivalent
Minimum 2 years of operational managed care experience
Health claims processing background, including coordination of
benefits and eligibility criteria
Familiarity with Medicaid and Medicare claims denials and appeals
processing
Keywords: VirtualVocations, Azusa , Medicare Claims Appeals Specialist, Other , Torrance, California
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