Appeals and Reconsideration Coordinator
2 days ago
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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