Manager Provider Appeals

Company: VirtualVocations
Location: Warren
Posted on: May 18, 2024

Job Description:

A company is looking for a Manager of Provider Appeals.

Key Responsibilities:

Leading, organizing, and directing the Provider Appeals Unit activities
Managing staff responsible for resolving provider inquiries, appeals, and grievances
Overseeing preparation of necessary documentation for committee presentations and audits

Required Qualifications:

Bachelor's degree or equivalent experience
Minimum 6 years' experience in healthcare claims review and member dispute resolution
2 years of leadership experience
Experience in reviewing various types of medical claims

Keywords: VirtualVocations, Waterford , Manager Provider Appeals, Executive , Warren, Michigan

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