Appeals Specialist I
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![]() United States, Tennessee, Nashville | |
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Job Title: Appeals Specialist I
Duration: 5+ Months Location: Remote Shift: M-F 9am-6pm CST with 1 hour lunch Basic function: Under supervision, this position is responsible for processing, organizing, and coordinating all materials and information relating to processing appeals for all lines of business following federal, state, and accreditation requirements; and for accurately responding by telephone, in person, or through correspondence to all inquiries involving requests for appeals from members, the Department of Labor, or ERISA; sending acknowledgement letter to member and draft provider letters for directors' signature; entry of appeals into appropriate database; and processing of internal quality of care referrals. Essential functions:
Job requirements:
Preferred Job Requirements:
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