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Remote Medical Appeals Specialist in Nashville

Job is Expired
Location: Tennessee
Compensation: To Be Discussed
Staff Reviewed: Mon, May 04, 2020
Job Category: Healthcare
Employment Status: Independent Contractor
Employer Type: Employer
Career Level: Experienced

Job Summary

A Digital Workforce Solutions Company is searching for a person to fill their position for a Remote Medical Appeals Specialist in Nashville.

Core Responsibilities Include:

  • Independently conducting thorough review of all new member and provider correspondence
  • Retrieving assigned cases from queue
  • Assigning priority and internal due date based on various regulations

Required Skills:

  • 3 Years’ experience Medicare Part C related to Appeals, Claims or Grievances
  • Working knowledge of Medicare Advantage appeal regulations
  • Working knowledge of CHS Explanation of Coverage
  • Proven ability to analyze detailed information
  • Systems experience: CCMS, PARC, FileBound and OnBase

COMPLETE JOB DESCRIPTION

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