"Appeals Analyst" Jobs in United States

Appeals Analyst

Palmetto GBA ·

Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly e

Appeals Analyst - (Remote)

Highmark Health ·

Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals;

Healthcare Appeals Analyst RN

GuideWell · Jacksonville

Reviews provider appeals to ensure medical necessity and experimental/investigational claims were processed correctly according to multiple coverage guidelines. Makes final determination based on findings and procedures

Grievance & Appeals Case Analyst

Partnership HealthPlan of California · Fairfield

Represents Partnership in the Grievance & Appeals Resolution process. Responsible for reviewing, investigating, and resolving assigned member grievance and appeal cases ranging from low to high complexity. Works to trans