Community Health Options logo
Community Health Options

Healthcare coverage that's based in Maine-personalized and simplified. Healthcare that's here to help you thrive.

Third Party Liability & Appeals Specialist

GeneralGeneralFull TimeRemoteLeadTeam 51-200Since 2012H1B No SponsorCompany SiteLinkedIn

Location

Maine

Posted

7 hours ago

Salary

0

Seniority

Lead

Bachelor Degree8 yrs expEnglish

Job Description

Third Party Liability & Appeals Specialist

Community Health Options

• Maintain subject matter expertise for all lines of business (LOB) • Support Manager in writing/reviewing Appeal letter language • Process appeals in accordance with established standards and workflow • Generate reports, monitor and address trends within appeals and reconsiderations

Job Requirements

  • Bachelor's Degree in healthcare or related field, preferred
  • Health Plan appeal experience, preferred
  • 8+ years of experience in claims, insurance, or TPL recovery; workers compensation, coordination of benefits, and subrogation
  • Certification Revenue Cycle Representative (CRCR), a plus

Benefits

  • Health insurance
  • Flexible work arrangements
  • Professional development

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