Medicare/Medicaid Claims Appeals Specialist
Molina Healthcare of Illinois
Molina Healthcare in New York seeks a Claims Specialist to support CMS-compliant appeals, disputes, grievances and member/provider inquiries, ensuring timely and accurate resolutions. You will research claims, review medical records and bills, prepare summaries, apply contracts and benefits, and communicate determinations clearly to members and providers, following regulatory guidelines. This role emphasizes attention to deadlines, organization, and collaborative problem-solving. #J-18808-Ljbffr Molina Healthcare
Vacancy posted 2 days ago
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