North Carolina Licensed Appeals Analyst
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)
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)
