Provider Pricing Appeals Specialist
Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Mon, Jan 06, 2025
This job expires in: 24 days
Job Summary
A company is looking for a Provider Pricing Appeals Specialist (Remote).
Key Responsibilities
- Review claims and medical documentation related to provider appeals
- Prepare cases for clinic review, NSA, and IDR
- Provide accurate and timely responses to appeals and grievances
Required Qualifications
- High School Diploma or equivalent education
- Ability to multitask efficiently and accurately
- Proficient with Microsoft Word and Excel or similar PC-based programs
- Demonstrated knowledge and working ability with HealthPac and/or Javelina preferred
- Ability to maintain confidentiality of work materials as appropriate
COMPLETE JOB DESCRIPTION
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