Remote Complaint and Appeal Analyst in Nashville

Location: Tennessee

Compensation: To Be Discussed

Staff Reviewed: Tue, Feb 16, 2021

This job expires in: 18 days

Job Category: Insurance

Remote Level: 100% Remote

Employer Type: Employer

Career Level: Experienced

Job Summary

A business services provider for healthcare firms is searching for a person to fill their position for a Remote Complaint and Appeal Analyst in Nashville.

Core Responsibilities Include:

  • Coordinate with internal departments to effectively identify appeals & complaints in a timely & appropriate manner
  • Coordinate components of appeals, complaints including final communication to member & provider for final resolution & closure

Must meet the following requirements for consideration:

  • Experience in Medicaid/CHIP/CHIP Perinate products and benefits
  • Experience in provider relations, customer service and audit experience are preferred
  • Experience in managed care organization compliance and regulatory requirements
  • Experience in research and analysis of claim processing is preferred
  • Experience in medical claims systems and medical management

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