Job Seekers, Welcome to AMCP Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Search Results: 172 Jobs
Create Alert
Loading... Please wait.
Optum Logo
Optum

Las Vegas, Nevada

Harris Health System Logo
Harris Health System

Houston, Texas

Harris Health System Logo
Harris Health System

Houston, Texas

Harris Health System Logo
Harris Health System

Houston, Texas

Optum Logo
Optum

Beaumont, California

Optum Logo
Optum

Moreno Valley, California

Harris Health System Logo
Harris Health System

Houston, Texas

University of Maryland Medical System Logo
University of Maryland Medical System

Largo, Maryland

University of Maryland Medical System Logo
University of Maryland Medical System

Baltimore, Maryland

CHRISTUS Health Logo
CHRISTUS Health

Tyler, Texas

Optum Logo
Optum

Hemet, California

Optum Logo
Optum

Chatsworth, California

Loading... Please wait.
Clinical Appeals Specialist
DescriptionSummary:This position requires the ability to work independently researching and reviewing inquiries from members and providers. Also requires knowledge of benefit interpretation, claims reviews, CPT and ICD coding. Responsible for analyzing, researching, and managing appeal/grievance inventories from members and providers. Respond to inquiries using verbal and written forms of communication.Research and provide resolution to issues such as claim denials, member and provider complaints, and reconsideration and redetermination requestsReview and respond to complaints, grievances and appeals within the stated time frame for each requestEnsure 95% compliance with the Center for Medicare and Medicaid Se


This job listing is no longer active.

Check the left side of the screen for similar opportunities.
Loading. Please wait.