Appeals Specialist I - Yakima, United States - Cambia Health Solutions

Cambia Health Solutions Yakima, United States

1 week ago

Description

Responsible for all activities associated with appeal analysis, decision-making and closure as described below:Appeal Intake Validate intake determinations regarding timeliness, member benefits, employer group, and provider contract provisions for Appeals Specialist, Appeals, Specialist, Processing, Healthcare, Medical, Information

Appeals Specialist I

6 days ago

Cambia Health Yakima, United States

· Appeals Specialist I · Remote within WA, ID, OR, and UT · Primary Job Purpose: · Responsible for all activities associated with requests for Provider Billing Disputes and Appeals. Includes analysis, preparation, evaluation of prior determinations, coordination of clinical revi ...