- Molina Healthcare (Augusta, GA)
- …responses to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with ... **REQU** **I** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer… more
- Uniti (Sugar Hill, GA)
- …and businesses** . ** ** **About the Role:** In this Warehouse Specialist position, you will perform all daily warehousing functions including receiving, ... School diploma or equivalent and 2+ years' experience with 1 2 years directly related to the job. +...during the application or interview process may result in denial of employment, withdrawal of offer, or termination. **Job… more
- Molina Healthcare (Columbus, GA)
- …appeals to the next level for review. * Generates and mails denial letters. * Provides support for interdepartmental issues to help coordinate problem-solving ... and other member/provider complaints. **Required Qualifications** * At least 1 year of experience in claims, and/or 1... 1 year of experience in claims, and/or 1 year of customer/provider service experience in a health… more
- Molina Healthcare (GA)
- …details in the database. * Provides supporting documentation management for denial and modification of payment decisions. * Independently re-evaluates medical claims ... clinical guidelines and other appropriate criteria with medical directors on denial decisions. * Supplies criteria supporting all recommendations for denial… more