Specialist, Appeals & Grievances

at Molina Healthcare
Location Irving, TX
Date Posted January 11, 2019
Category Claims/Billing
Job Type Full-time

Description

Preferred License, Certification, Association. LVN/LPN or completion of other healthcare related vocational program with certification (e.g., Certified Coder, billing, medical assistant). Assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. Researches issues utilizing systems and clinical assessment skills, knowledge and approved “Decision...