Expired Appeals Analyst jobs in Columbia, SC
Columbia, SC
$29,830-$49,717/year (est.)
Analyst, Appeals The Analyst, Appeals, will play a crucial role in conducting thorough reviews of complex appeal or retrospective review requests, including pre-pay and post-payment appeals. The primary responsibility is to determine if the requested services meet medical necessity guidelines and...
Columbia, SC
$57K-$70K / yr. (est.)
Duties: Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents decisions within...
Columbia, SC
$65K-$80K / yr. (est.)
Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents decisions within mandated...
Columbia, SC
$66K-$81K / yr. (est.)
Job Title: RN Appeals Analyst Location: Columbia, SC. 29229 (Remote, after 4 weeks onsite training) Duration: 3 months assignment (Possible Temp to perm) Shift: Mon - Fri, 8:30 am to 5 pm. Summary: Researches the substance of complex appeal or retrospective review requests including pre-pay and...
Columbia, SC
$42K-$52K / yr. (est.)
Summary We are currently hiring for a RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as the RN Appeals Analyst, you will research the substance of complex appeal or retrospective review requests, including pre-pay and post-payment review appeal requests. You will...
Columbia, SC
$18,445-$74,573/year (est.)
At ICF we make BIG things happen. Let’s work together to help individuals impacted by disasters and communities recover and re-build for future resilience. ICF’s growing Disaster Management division is assembling an outstanding team equipped to offer expert advisory services, bringing the strength...
Columbia, SC
$18,445-$74,573/year (est.)
Company : Highmark Wholecare Job Description : I. GENERAL OVERVIEW: The Appeals Analyst reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals; initiates a case file for each grievance and appeal;...
Columbia, SC
$29,830-$49,717/year (est.)
Analyst, Appeals The Analyst, Appeals, will play a crucial role in conducting thorough reviews of complex appeal or retrospective review requests, including pre-pay and post-payment appeals. The primary responsibility is to determine if the requested services meet medical necessity guidelines and...
Columbia, SC
$54K-$67K / yr. (est.)
Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents decisions within mandated...
Columbia, SC
$29,830-$49,717/year (est.)
Duties Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents decisions within...