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Medical Insurance Appeals Coordinator
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Up to $22 an hour (competitive)
Full-time
- Job Description: Appeals Coordinator (Hybrid Position)Our client, a leading company specializing in non-invasive skin cancer treatment, is seeking an experienced and detail-oriented Appeals Coordinator to join their team.
- As an Appeals Coordinator, you will play a crucial role in investigating and resolving complex patient and insurance provider complaints related to enrollment and claims, medical appeals, and provider payment disputes within the healthcare industry.
- Responsibilities: Appeals Investigation: Investigate and resolve patient and insurance provider complaints, conducting in-depth reviews of clinical information and nationally recognized criteria to determine the need for requested services.
- Data Analysis and Reporting: Gather, analyze, and report all information related to appeals, providing clear and concise insights to relevant stakeholders.
- Qualifications: 1-3 years of claims processing experience in the health insurance industry, with a focus on customer service and call center operations.
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