Our client, a leading health insurance company, is hiring an Appeals Analyst! This is a remote position paying $20-$23/hr.
*This is a 6-month W2 contract with benefits and the possibility of extension! *
In this role, you will review health insurance appeals, research claims and coverage issues, and respond to members and providers while making sure all decisions follow required guidelines.
Responsibilities:
- Review and investigate health insurance appeals, grievances, and claims disputes
- Research claims, coverage, and policy details to determine appropriate responses
- Prepare written responses and documentation that follow insurance regulations and guidelines
- Monitor deadlines and ensure appeals and grievances are handled accurately and on time
Required Skills & Qualifications:
- Experience with health insurance regulations and CMS guidelines
- 3 + years of claims experience appeals and grievance experience
- CPC certification required within 1 year for coding disputes
Motion Recruitment Partners is an Equal Opportunity Employer, including disability/vets. All applicants must be currently authorized to work on a full-time basis in the country for which they are applying, and no sponsorship is currently available. Employment is subject to the successful completion of a pre-employment screening. Accommodation will be provided in all parts of the hiring process as required under Motion Recruitment Employment Accommodation policy. Applicants need to make their needs known in advance.
Appeals Analyst in Durham at Motion Recruitment
This position is listed as contract and able to be worked remotely. It was posted 2 days ago.