Remote Appeals and Grievances Analyst 2

Job Summary

A health services company is in need of a Remote Appeals and Grievances Analyst 2.

Must be able to:

• Review and research provider payment dispute cases and follows up on resolution
• Maintain information to log incoming correspondences, tracking dispositions
• Monitor all incoming provider payment dispute channels including mail, fax and phone

Required Skills:

• Bachelor’s degree or equivalent work experience preferred
• Three (3) or more years of experience in health plan operations setting required,
• Experience in various claim pricing methodologies
• Certified Claim Coder preferred