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Clinical Appeals Specialist - Full Time
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. Requirements:Previous Appeals and Grievance experience with Managed Care PlansGood typing and letter writing skillsExcellent written and oral communication skillsExcellent research and analytical skillsBasic computer knowledgeExcellent customer service skillsAb


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