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Transforming the health of the communities we serve, one person at a time.
Appeals Specialist II
Location
Michigan
Posted
3 days ago
Salary
$20 - $34 / hour
Seniority
Junior
Job Description
Appeals Specialist II
Centene Corporation
• Supports the documentation and processing of appeals, disputes and reconsiderations • Ensures they are in accordance with state and NCQA requirements • Performs data entry to support the tracking, logging, and processing of appeals • Prepares correspondence for appeals, disputes and reconsiderations • Maintains documentation files and reviews requests • Conducts research needed to evaluate, process, and respond to appeals
Job Requirements
- High School diploma or GED
- 1 – 2 years of related experience
- Knowledge of appeals, disputes and reconsiderations process preferred
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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