Provider Pricing Appeals Specialist - Baltimore Maryland

Company: VirtualVocations
Location: Baltimore, Maryland
Posted On: 01/30/2025

A company is looking for a Provider Pricing Appeals Specialist (Remote).



Key Responsibilities

Review claims and medical documentation related to provider appeals
Prepare cases for clinic review, NSA, and IDR
Provide accurate and timely responses to appeals and grievances


Required Qualifications

High School Diploma or equivalent education
Ability to multitask efficiently and accurately
Proficient with Microsoft Word and Excel or similar PC-based programs
Demonstrated knowledge and working ability with HealthPac and/or Javelina preferred
Ability to maintain confidentiality of work materials as appropriate More...

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