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Supervisor of Appeals

Company: VirtualVocations
Location: Fontana
Posted on: October 8, 2024

Job Description:

A company is looking for a Supervisor - Appeals to oversee the independent external appeals process and manage a team of Appeals Officers.



Key Responsibilities

Oversee healthcare applications processing, complaints, and appeals
Provide supervision and coaching to assigned staff, ensuring performance meets standards
Maintain an active case load and review patient records while preparing decision letters or reports


Required Qualifications

Bachelor's degree in a relevant field and 3+ years of professional experience, or equivalent combination of education and experience
Minimum 2 years of experience with independent external review for medical appeals
Previous supervisory experience in a medical appeals environment
Experience in compiling and analyzing production statistics
Knowledge of compliance with company policies and procedures

Keywords: VirtualVocations, Lake Havasu City , Supervisor of Appeals, Other , Fontana, Arizona

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