Administrative Appeals Representative (Work From Home)

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay / Equipment provided - As an Appeals Rep you'll: Prepare appeals/grievances for review by the Review Committees; Read each appeal/grievance to determine what is being requested and what action should be taken; Research issue using all available resources as well as calling the provider or member; Document appeal in appropriate ASH systems; Send appropriate response letter regarding appeal/grievance outcome; Prepare and send appropriate non-compliance letters to non-compliant providers, including educational letters...Hiring Fast >>