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Grievance Appeals Specialist

Company: VirtualVocations
Location: Denton
Posted on: April 8, 2025

Job Description:

A company is looking for a Grievance & Appeals Specialist II (Dental).
Key Responsibilities

Review and validate dental appeals submitted by providers
Prepare appeals for clinical review and document outcomes in the system
Process various types of appeals and resolve them within regulatory timeframes

Required Qualifications

High school diploma or equivalent required
Associate's Degree or equivalent relevant work experience preferred
Minimum of two years of healthcare customer service, claims, compliance, or related experience required
Familiarity with the healthcare field and knowledge of Medicaid
Intermediate skills in Microsoft Word and Excel

Keywords: VirtualVocations, Denton , Grievance Appeals Specialist, Other , Denton, Texas

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