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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