- Molina Healthcare (Milwaukee, WI)
- …8am-5pm PST hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** **Job Summary** Responsible for reviewing and ... + Responsible for the comprehensive research and resolution of the appeals , dispute, grievances , and/or complaints from Molina members, providers… more
- Molina Healthcare (Milwaukee, WI)
- …research and resolution of the complex or escalated and high dollar appeals , grievances , and/or complaints from Molina members, providers and related ... outside agencies. + Research claims appeals and grievances using support systems to...subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (Milwaukee, WI)
- …is responsible for the direct supervision of Program Integrity Specialist , Molina Medicare , direct supervision of the Manger Appeals and Grievances , ... Medicare . * Responsible for the direct supervision of Program Integrity Specialist , Molina Medicare and for matrix super vision of Director Auditing, Molina … more