Claims Appeals & Grievances Specialist
Molina Healthcare
Molina Healthcare in Florida is seeking a Claims Support Specialist to review and resolve member and provider complaints, ensuring timely responses under CMS guidelines and internal standards. You will research appeals and grievances, request and review medical records, communicate resolutions to members or authorized representatives, and prepare detailed summaries and correspondence that document findings and trends while maintaining compliance. #J-18808-Ljbffr Molina Healthcare
Vacancy posted 1 day ago
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