Appeals Specialist

Company: VirtualVocations
Location: Beaumont
Posted on: November 13, 2024

Job Description:

A company is looking for an Appeals Specialist to manage denials and prepare appeal submissions.

Key Responsibilities

Conduct comprehensive reviews of clinical documentation to assess appeal validity
Prepare and submit factual arguments for all appeal submissions
Manage denials under general supervision

Required Qualifications

High School Diploma or GED
Five (5) years of healthcare experience with patient medical records audits
Knowledge of third-party payer regulations
Bachelor's Degree in a related field preferred

Keywords: VirtualVocations, Pearland , Appeals Specialist, Other , Beaumont, Texas

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