Appeals Specialist: End-to-End Denials & Compliance Expert
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Healthfirst is seeking an Appeals & Grievances Specialist to handle non-clinical case development and resolve member and provider appeals across commercial, Medicaid, Medicare and dual enrollment. You will research issues, interpret regulations, prepare documented appeals within payer timelines, and identify denials patterns for process improvements. Strong attention to detail and independence are essential. #J-18808-Ljbffr Remote Jobs
Vacancy posted 1 day ago
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