- Molina Healthcare (Augusta, GA)
- …appeal into information system and prepares documentation for further review. + Research issues utilizing systems and other available resources. + Assures timeliness ... medical records, notes, and/or detailed bills as appropriate to assist with research . + Determines appropriate language for letters and prepare responses to appeals… more
- Molina Healthcare (Macon, GA)
- …Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or ... outside agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and… more