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Third Party Liability & Appeals Specialist
Location
Maine
Posted
7 hours ago
Salary
0
Seniority
Lead
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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