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Texas Licensed Appeals Analyst
Manage assigned member appeals and grievances, ensuring compliance with regulatory requirements Consult with subject matter experts to gather information for appropriate resolution of cases Qualifications Associates Degree or equivalent experience in Company...care or related field 3-5 years of Company care or insurance experience Company care benefit and regulatory knowledge preferred Knowledge of insurance products, policies, and procedures preferred Ability to work independently and collaboratively asInsurance Follow-Up Specialist
leader and reference source for billing and reimbursement issues Communicate effectively between patients, insurance companies, and departmental staff Required Qualifications Two years post high school education or an AA degree preferred Related Company...care or insurance industry experience Knowledge of Federal and State billing requirements preferred Minimum two (2) years patient accounting experience preferred Bachelor's degree in Finance or Business Administration may substitute for experienceInsurance Follow-Up Specialist
reference source for billing and reimbursement issues Facilitate communication between patients, insurance companies, and departmental staff Required Qualifications and Education Two years post high school education or an AA degree preferred Related Company...care or insurance industry experience Knowledge of Federal and State billing requirements preferred Minimum two (2) years of patient accounting experience preferred Bachelor's degree in Finance or Business Administration may substitute for experienceSenior Director of Underwriting
10 years of relevant work experience, including 5 years in managed care or related PBM experience 7 years of leadership and people management experience Must be eligible to work in the United States without sponsorship Thorough knowledge of the health...care and health insurance industries
