Bachelor's degree in a relevant field or equivalent experience., Strong analytical and problem-solving skills., Excellent communication and interpersonal abilities., Familiarity with appeals processes and regulations..
Key responsibilities:
Review and analyze appeal cases to determine eligibility.
Prepare and submit appeal documentation in a timely manner.
Communicate with clients and stakeholders regarding appeal status.
Collaborate with legal and compliance teams to ensure adherence to regulations.
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Allied is a national healthcare solutions company that works with organizations who choose to take control of their healthcare. We customize employer self-insurance benefits to align with individual choice and organizational need while integrating medical management innovations and cost-control strategies. With healthcare designed for people, employers never have to choose between price and the best-fit insurance products to protect employees and their families.
Allied’s philosophy is to create a culture of health for our member organizations and their employees beyond simple, medical health. We integrate administrative services, care solutions and analytics to achieve better clinical, behavioral and social patient outcomes.
Allied’s programs and benefit services are designed and structured to infuse value on every front – for employers and HR departments, for plan members and their families, for healthcare providers, and for us. We’re in this together, committed to your future.