Expired Appeals Analyst jobs in Philadelphia, PA
Philadelphia, PA
$23,916-$96,690/year (est.)
Job Information The Audit and Appeal Specialist will review and manage appeals to completion maintaining all time frames as required under ERISA and the program guidelines. This includes but is not limited to contacting the employee, the employer and medical providers. Completes monthly performance...
Philadelphia, PA
$23,916-$96,690/year (est.)
Position Summary .Responsible for processing appeals of adverse benefit determinations in all lines of business, which includes Long Term Disability (LTD), Short Term Disability (STD), Life/Waiver of Premium/Group Life products/Accelerated Death/Accidental Death/Critical Illness (and all related...
Philadelphia, PA
$52K-$63K / yr. (est.)
oPerforms daily quality assessments for all function areas of the Appeals and Grievances Department to assure the integrity of processes - for all lines of business. oReviews include assessments of the decision-making process through the life of the appeal and assuring that compliance and quality...
Philadelphia, PA
$23,876-$96,530/year (est.)
s: Summary The MAC Appeals Specialist is responsible for investigating and resolving MAC reimbursement appeals from pharmacies that service Enclara Pharmacia clients. Schedule: Monday through Friday, 8:30 AM to 5:00 PM Essential Duties and Responsibilities Ensure all pharmacy reimbursement appeals...
Philadelphia, PA
$55K-$67K / yr. (est.)
Job Responsibilities and Requirements Responsible for processing appeals of adverse benefit determinations in all lines of business, which includes Long Term Disability (LTD), Short Term Disability (STD), Life/Waiver of Premium/Group Life products/Accelerated Death/Accidental Death/Critical Illness...
Philadelphia, PA
$23,876-$96,530/year (est.)
JOB SUMMARY Ensures due diligence is completed prior to account write-off. Identifies root causes appropriately and submits accurate adjustment sheets. Coordinates denial resolution with various departments and consistently works to help improve processes. Must be able to effectively communicate,...
Philadelphia, PA
$58K-$71K / yr. (est.)
Job Responsibilities and Requirements Responsible for processing appeals of adverse benefit determinations in all lines of business, which includes Long Term Disability (LTD), Short Term Disability (STD), Life/Waiver of Premium/Group Life products/Accelerated Death/Accidental Death/Critical Illness...