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UM Appeals Support Specialist

Company: VirtualVocations
Location: Denton
Posted on: May 3, 2025

Job Description:

A company is looking for a UM Appeals Follow Up Support Specialist.
Key Responsibilities

Obtain service authorization and monitor authorization compliance for Medicare and Non-Medicare funded services
Assist with the appeals process by performing research and responding to clinical information requests
Prepare appeal summaries, correspondence, and document information for tracking and trending data

Required Qualifications

High School diploma or GED
Preferred 1 year of post High School business or college coursework
Minimum of two years of medical insurance, medical records, or medical office experience
Preferred experience with Medicare, State, Hospice, HMO, PPO, and traditional insurance regulations
Preferred experience with EPIC or electronic medical records

Keywords: VirtualVocations, Arlington , UM Appeals Support Specialist, Other , Denton, Texas

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