Appeals Analyst
Motion Recruitment · Durham, North Carolina, United States
FULL TIME
Job Description
Our client, a leading health insurance company, is hiring an Appeals Analyst! This is a remote position paying $20-$23/hr.
Make sure to apply with all the requested information, as laid out in the job overview below.
*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 disputesResearch claims, coverage, and policy details to determine appropriate responsesPrepare written responses and documentation that follow insurance regulations and guidelinesMonitor deadlines and ensure appeals and grievances are handled accurately and on time
Required Skills & Qualifications:Experience with health insurance regulations and CMS guidelines3 + years of claims experience appeals and grievance experienceCPC 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. xzbcwsv Applicants need to make their needs known in advance.
Make sure to apply with all the requested information, as laid out in the job overview below.
*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 disputesResearch claims, coverage, and policy details to determine appropriate responsesPrepare written responses and documentation that follow insurance regulations and guidelinesMonitor deadlines and ensure appeals and grievances are handled accurately and on time
Required Skills & Qualifications:Experience with health insurance regulations and CMS guidelines3 + years of claims experience appeals and grievance experienceCPC 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. xzbcwsv Applicants need to make their needs known in advance.
Details
| Company | Motion Recruitment |
| Location | Durham, North Carolina, United States |
| Type | FULL TIME |
| Niche | healthcare |