Expired Clinical Appeals Specialist jobs in Columbia, SC
Columbia, SC
$68K-$83K / 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
$21,807-$85,234/year (est.)
RN / Appeals Analyst InGenesis Solutions has an opportunity for an RN/Appeals Analyst to come and join our client located in Columbia, SC ! As the RN/Appeals Analyst with a large health insurance provider, you will research the substance of complex appeal or retrospective review requests including...
Columbia, SC
$21,807-$85,234/year (est.)
Summary 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
$21,807-$85,234/year (est.)
Summary 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
$21,807-$85,234/year (est.)
It’s Time For A Change… Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging...
Columbia, SC
$21,807-$85,234/year (est.)
Summary 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...