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Appeals Specialist

Location: Rancho Cordova, CA
Type: Full-time, Temporary

We are looking to fill numerous Appeals Specialist opportunities in the Sacramento area! Pays $16/hr.

This position is responsible for researching and resolving priority inquiries, disputes appeals and grievances from members, providers and regulatory bodies as well as processing. Prepares formal responses with the assistance of the Legal Department. Supports Legal Department for small claims court appearances. Researches and sends responds to HIPAA inquiries and complaints. Provides materials and sends inquiries regarding NPP. Prepares formal responses to subscriber privacy concerns. Reports complaint trends to legal counsel and management as determined by analysis of the complaint tracking system. Performs miscellaneous duties as assigned.

Job Requirements:

Certified Employment Group is one of Northern California's largest, privately owned staffing firms. Serving Northern California since 1963, Certified has spent over 50 years building a solid reputation for providing reliable, skilled staff to a wide range of industries. Certified specializes in temporary, temp to hire, and direct placements. For up to date job openings, follow us on Facebook and LinkedIn or visit our website at www.certifiedemployment.com.

To apply for this position, please click apply or submit your resume and cover letter as a word doc to evelynp@certifiedemployment.com and put Appeals Specialist 03401 on the subject line.


 

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