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Cynet Systems

Appeals Lead

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Job Description

As an Appeals Lead, you will coordinate and support daily appeals operations to ensure timely, accurate, and compliant processing of provider appeals. Under the direction of the Supervisor, this position provides subject matter expertise, assists with workflow management, monitors quality, and supports staff in meeting operational requirements.

Requirements:

Minimum of three years of experience in healthcare appeals and grievances, preferably Medi-Cal or Medicaid. Analytical and critical thinking skills. Ability to train and coach team members. Attention to detail and accuracy. Strong written and verbal communication skills. Previous lead or senior claims processing experience preferred. Attention to detail and quality assurance.

Pay:

$36.00 - $38.21 per hour

Benefits:

401(k) Dental insurance Health savings account Application Question(s): Do you have experience working with Medi-Cal or Medicaid appeals and grievances?

Work Location:

In person

Benefits

  • 401(k) Plans
  • Health Insurance
  • Dental Insurance