About this opportunity
Molina Healthcare lists this Appeals & Grievances Specialist: Claims Resolution Expert opportunity in northern, Kentucky. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Molina Healthcare in Kentucky is seeking a Claims Support Specialist to review and resolve member and provider complaints and communicate resolutions to members or authorized representatives in line with CMS standards.
The role involves researching appeals and grievances, requesting and reviewing medical records and bills, ensuring timely responses, and applying contract language and benefits rules to the claims review process.
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.