Complaint and Appeals Specialist
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Cdr, Complaint & Appeals.
Key Responsibilities
Review and process appeals filed by participating providers
Assist with adherence to regulatory requirements and conduct
internal audits
Draft and send appeal decision letters
Required Qualifications
1 year of experience with HMO and Traditional claim platforms,
patient management, and compliance analysis
Experience in provider relations, customer service, or audit
High School diploma or equivalent
Keywords: VirtualVocations, La Mesa , Complaint and Appeals Specialist, Other , Vista, California
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