Healthcare Appeals Specialist
Company: VirtualVocations
Location: Hayward
Posted on: November 1, 2024
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Job Description:
A company is looking for an Appeals Professional (Healthcare
Professional) to perform complex work related to medical dispute
resolution.
Key Responsibilities
Review medical records and write clear, concise, and impartial
reconsideration decisions
Make independent decisions based on medical evidence, regulations,
and policies
Conduct research to support accurate and well-informed
decisions
Required Qualifications
Associate's degree or 60+ credit hours towards a Bachelor's degree
in healthcare or related discipline
Three years of experience in medical dispute resolution or related
healthcare settings
Experience in writing or making medical necessity decisions
Experience in nursing, physical therapy, respiratory therapy, or
occupational therapy
Medicare and appeals experience preferred
Keywords: VirtualVocations, Berkeley , Healthcare Appeals Specialist, Healthcare , Hayward, California
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