Job is Expired
Location: Arizona, Florida, Georgia, Illinois, Maryland, Massachusetts, Michigan, New Mexico, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas, Utah, Virginia
Compensation: To Be Discussed
Staff Reviewed: Fri, Jun 24, 2022
Job Summary
A health insurance company is searching for a person to fill their position for a Remote Clinical Appeals Liaison.
Must be able to:
- Assess incoming requests and inquiries for appeals, swiftly determining next steps and taking appropriate action
- Conduct a comprehensive review of case history and identify key elements, arguments and mitigating factors
- Oversight and ownership of casework and timelines
Must meet the following requirements for consideration:
- 2+ years healthcare experience
- Knowledge of insurance industry and regulatory compliance to applicable state and federal laws
- Experience working with health plans, coordinating care, authorizations and/or appeals