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Medicaid Appeals Specialist image - Rise Careers
Job details

Medicaid Appeals Specialist

Job Summary

A company is looking for a Specialist, Appeals & Grievances with Medicaid experience.

Key Responsibilities
  • Review and resolve member and provider complaints in accordance with Medicaid standards
  • Conduct comprehensive research on appeals, grievances, and complaints to ensure compliance with timelines
  • Prepare appeal summaries and correspondence, ensuring accuracy and adherence to regulatory requirements
Required Qualifications
  • High School Diploma or equivalency
  • Minimum 2 years of operational managed care experience
  • Health claims processing background, including coordination of benefits and eligibility criteria
  • Familiarity with Medicaid claims denials and appeals processing

Average salary estimate

$60000 / YEARLY (est.)
min
max
$50000K
$70000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

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MATCH
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FUNDING
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
No info
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
May 23, 2025

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