Appeals & Claims Quality Control Reviewer

A health benefits organization in New York seeks a candidate to manage appeal inquiries and correspondence, ensuring all documentation is accurate. Requirements include a high school diploma, two years of clerical experience in a health plan, and strong customer service and analytical skills. The role includes documenting communications, assisting with member inquiries, and maintaining records in the claims system. Candidates should have familiarity with medical claims processing and be detail-oriented, with intermediate skills in Microsoft Office applications.
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