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Appeals Specialist I
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$25.3 - $41.3 an hour
Full-time
- Responsible for all activities associated with requests for Provider Billing Disputes and Appeals.
- Appeals Specialist I would have a high school diploma or GED and a minimum 4 years’ experience in Regence Customer Service, Claims, or Clinical Services or equivalent combination of education and work experience.
- Assist with compilation of reports on appeals, including trends, number of cases, decisions, suggestions for process improvement, types of appeals, and compliance with timelines.
- Knowledge of medical terminology, anatomy and coding (CPT, DX, HCPCs).
- Knowledge of Regence claims processing and clinical services operations.
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