No Surprises Act Appeals Specialist

Molina Healthcare; San Diego; Presencial; VES 12.233.000 - 17.128.000; Jornada completa

Descripción de la vacante

A healthcare provider in San Diego seeks a professional to support claims activities, focusing on Provider No Surprises Act cases. The ideal candidate will have at least 2 years of managed care experience, particularly in a claims environment, and strong communication skills. Responsibilities include researching claims, communicating with providers, and preparing documentation. Competitive benefits are offered.

Servicios

Competitive benefits and compensation package

Formación

• At least 2 years of managed care experience in a relevant environment.
• Experience with Medicaid and Medicare claims denials and appeals.
• Strong organizational and time management skills.

Responsabilidades

• Research and resolution of Provider No Surprises Act cases.
• Contact providers as needed for claims.
• Prepare correspondence and document findings.

Conocimientos

Managed care experience

Health claims processing

Customer service experience

Organizational skills

Effective communication skills

Microsoft Office proficiency

Descripción del empleo

A healthcare provider in San Diego seeks a professional to support claims activities, focusing on Provider No Surprises Act cases. The ideal candidate will have at least 2 years of managed care experience, particularly in a claims environment, and strong communication skills. Responsibilities include researching claims, communicating with providers, and preparing documentation. Competitive benefits are offered.