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Senior Appeals Administrator

Company: VirtualVocations
Location: Vista
Posted on: May 8, 2025

Job Description:

A company is looking for a Sr Admin - Appeals.
Key Responsibilities

Maintain updated knowledge of project and corporate policies and procedures
Analyze data submitted for Independent Medical Review and manage incoming healthcare information
Respond to inquiries from clients, health plans, providers, and enrollees regarding case status and the appeals process

Required Qualifications

Associate degree with 2+ years of experience, or HS Diploma/GED with 4+ years of experience
Experience in healthcare or appeals processes preferred
Proficient in data analysis and management
Ability to function as a Subject Matter Expert in relevant areas
Remote work setup with specific technical requirements (internet speed, OS compatibility)

Keywords: VirtualVocations, Pasadena , Senior Appeals Administrator, Other , Vista, California

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