Medical Biller & Coder
$25 - $27 per hourDexian
Job Title: Grievance & Appeals Specialist I
Location: Meridian, ID 83642
Pay Range : $25/hr - $27/hr
Duration: 6 Months Contract
Job Description:
Our Grievance & Appeals Specialist I act as the primary investigator for member appeals and grievances including analyzing, researching, and managing inventories.
Responding to member/provider requests within regulatory requirements and plan policy.
We're looking for Grievance & Appeals Specialist I with:
Required Experience: 3 years’ health industry or related experience
What a day of a Grievance & Appeals Specialist I would look like:
- Ensure cases are accurately classified and categorized.
- Prepare comprehensive case histories for presentation and consideration at committee meetings and audits.
- Determines if additional information or documentation is needed to make appropriate decisions.
- Interpret and apply business rules, policies and contract.
- Prepare appeal cases to send to an independent specialty reviewer.
- Present appeal case information to a multi-department committee.
Additional skills that we are looking for:
- Good verbal and written communication skills
- Medical terminology
- Familiar with ICD10 and CPT coding
- Experience with Individual and Group Contract language
- Customer Service or Claims processing experience preferred
Dexian stands at the forefront of Talent + Technology solutions with a presence spanning more than 70 locations worldwide and a team exceeding 10,000 professionals. As one of the largest technology and professional staffing companies and one of the largest minority-owned staffing companies in the United States, Dexian combines over 30 years of industry expertise with cutting-edge technologies to deliver comprehensive global services and support.
Dexian connects the right talent and the right technology with the right organizations to deliver trajectory-changing results that help everyone achieve their ambitions and goals. To learn more, please visit
$25 - $27 per hour
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