Claims Appeals & Grievances Specialist
Molina Healthcare
Molina Healthcare is seeking a Claims Resolution Specialist to support appeals, disputes, and grievances for members and providers. You will review medical records, analyze benefits, and ensure timely responses in line with CMS and Molina guidelines. Key duties include researching outcomes, preparing summaries, and communicating results to stakeholders. Strong organization, customer service, and knowledge of Medicare/Medicaid processes are essential for success in this role. #J-18808-Ljbffr Molina Healthcare
Vacancy posted 3 days ago
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