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Appeals Specialist

VirtualVocations
Bronx, NY Full Time
POSTED ON 3/4/2025
AVAILABLE BEFORE 5/20/2025

A company is looking for an Appeals Specialist responsible for monitoring and tracking the status of appeals related to the Cost Containment program.Key ResponsibilitiesIndependently review and analyze appeals related to Cost Containment programsDocument claim specifics into current software and route documentation for review / resolutionRespond to inquiries related to the No Surprises Act and Independent Dispute ResolutionRequired QualificationsHigh School Diploma; College and Advanced Degrees preferred2-4 years of experience analyzing healthcare claims requiredKnowledge of ICD and / or CPT codes requiredIntermediate experience with Microsoft Office applicationsAbility to multi-task and work within multiple systems

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