Molina Healthcare in Kentucky is seeking a Claims Support Specialist to review and resolve member and provider complaints and communicate resolutions to members or authorized representatives in line with CMS standards.
The role involves researching appeals and grievances, requesting and reviewing medical records and bills, ensuring timely responses, and applying contract language and benefits rules to the claims review process.
#J-18808-LjbffrAppeals & Grievances Specialist: Claims Resolution Expert in northern at Unknown Company
This position is listed as contract and onsite.