Appeals and Reconsideration Coordinator

2 days ago


Palo Alto, California, United States Elevance Health Full time

Job Description: As an Appeals and Reconsideration Coordinator at Elevance Health, you will play a key role in ensuring that provider payment appeals are resolved in a timely and fair manner. This role requires excellent organizational and communication skills, as well as the ability to work effectively in a fast-paced environment.

Key Responsibilities:

  • Coordinated and managed the appeal and reconsideration process for provider payments.
  • Developed and implemented effective solutions to resolve provider payment disputes.
  • Collaborated with internal stakeholders, including Provider Solutions and Health Plan Operations leadership, to determine root cause and develop effective solutions.

Requirements:

  • A High School diploma or GED and a minimum of 2 years of experience in claims research and/or issue resolution or analysis of reimbursement methodologies within the health care industry.
  • Excellent organizational and communication skills.
  • Ability to work effectively in a fast-paced environment.

What We Offer:

  • A competitive salary range of $63,000 - $88,000 per year.
  • A comprehensive benefits package, including medical, dental, and vision insurance.
  • Ongoing training and development opportunities to enhance your skills and career prospects.

Location: California, USA.



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