North Carolina Licensed Appeals Analyst
Company: VirtualVocations
Location: Vista
Posted on: May 8, 2025
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Job Description:
A company is looking for an Appeals Analyst to work remotely for
a highly accredited health insurance organization.
Key Responsibilities
Analyze, research, resolve, and respond to appeals, coding
disputes, grievances, and coverage determinations
Prepare files and develop position statements for external reviews
by independent organizations
Document investigations and findings in applicable systems while
ensuring compliance with regulatory standards
Required Qualifications
Bachelor's degree or advanced degree where required
3 years of related experience, or 5 years in lieu of a degree
CPC certification required
Must reside in approved states (NC preferred, among others)
Keywords: VirtualVocations, Hemet , North Carolina Licensed Appeals Analyst, Professions , Vista, California
Click
here to apply!
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