North Carolina Licensed Appeals Analyst

Company: VirtualVocations
Location: Vista
Posted on: May 8, 2025

Job Description:

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)

Keywords: VirtualVocations, Fullerton , North Carolina Licensed Appeals Analyst, Professions , Vista, California

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