The Senior Coordinator, Complaint & Appeals will manage complex Medicare Fast Track Appeals, ensuring resolution and compliance while collaborating across departments.

Risk Adjustment Specialist (Clinical) - Remote

Centene Management Company

41 weeks ago

Centene Management Company

Risk Adjustment

Claims Research

Quality Improvement

Clinical Experience

The Risk Adjustment Specialist will support the development and maintenance of Risk Adjustment programs while conducting claims research and analysis.

Insurance Verification Specialist - Remote

Community Medical Services

45 weeks ago

Community Medical Services

Medicaid

Medicare

EHR

EMR

The Insurance Verification Specialist is responsible for verifying client eligibility and maintaining enrollment records in a hybrid work environment.

Insurance Verification Specialist - Remote

Community Medical Services

60 weeks ago

Community Medical Services

Medicaid

Medicare

EHR

EMR

Join Community Medical Services as an Insurance Verification Specialist, responsible for verifying client eligibility and maintaining demographic processing.

The Remote Claims Research Associate conducts research to determine vehicle values for insurance claims, working closely with adjusters and dealerships.