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North Carolina Appeals Specialist

Company: VirtualVocations
Location: Burbank
Posted on: May 3, 2025

Job Description:

A company is looking for an Appeals Specialist (Remote NC).
Key Responsibilities

Prepare and manage member and recipient correspondence related to denials and appeals
Coordinate and support peer review processes and maintain appeal files
Respond to inquiries from staff, providers, and community members regarding clinical denials and appeals

Required Qualifications, Training, and Education

High School diploma or GED required; Associate or Bachelor's degree in Business Management or Certification in Allied Health preferred
2-5 years of clerical and administrative support experience in allied health and/or behavioral health settings
Proficient in Microsoft Office suite, including Word, Excel, and Teams
Ability to multitask and prioritize competing deliverables
Must reside in North Carolina or within 40 miles of the North Carolina border

Keywords: VirtualVocations, Riverside , North Carolina Appeals Specialist, Other , Burbank, California

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