Community Health Options
51 - 200 employees
Founded 2012
⚕️ Healthcare Insurance
Healthcare Insurance • Insurance
Community Health Options is a Maine-based health insurance provider dedicated to offering flexible and affordable health plans for individuals and families, as well as small and large groups. They focus on providing comprehensive healthcare coverage with a wide network of in-network providers, while also offering wellness programs, virtual care options, and specialized support for chronic illnesses. Their mission centers around delivering benefits designed to meet the real needs of their members, while helping to reduce out-of-pocket healthcare costs.
Third Party Liability & Appeals Specialist
🔥 0 minutes ago
📊 Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
Community Health Options
51 - 200 employees
Founded 2012
⚕️ Healthcare Insurance
Healthcare Insurance • Insurance
Community Health Options is a Maine-based health insurance provider dedicated to offering flexible and affordable health plans for individuals and families, as well as small and large groups. They focus on providing comprehensive healthcare coverage with a wide network of in-network providers, while also offering wellness programs, virtual care options, and specialized support for chronic illnesses. Their mission centers around delivering benefits designed to meet the real needs of their members, while helping to reduce out-of-pocket healthcare costs.
📋 Description
• Maintain subject matter expertise for all lines of business (LOB) • Support Manager in writing/reviewing Appeal letter language • Process appeals in accordance with established standards and workflow • Generate reports, monitor and address trends within appeals and reconsiderations
🎯 Requirements
• Bachelor's Degree in healthcare or related field, preferred • Health Plan appeal experience, preferred • 8+ years of experience in claims, insurance, or TPL recovery; workers compensation, coordination of benefits, and subrogation • Certification Revenue Cycle Representative (CRCR), a plus
🏖️ Benefits
• Health insurance • Flexible work arrangements • Professional development
Apply NowSimilar Jobs
🔥 8 minutes ago
Retail Merchandiser managing inventory and brand presence in Montgomery, AL territory. Ensure sales success through customer relations, quality control, and promotions.
🇺🇸 United States – Remote
💵 $43.9k - $45k / hour
💰 $4.9M Series A - Enthuse on 2021-03
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔥 8 minutes ago
Retail Merchandiser role focused on premium spirits portfolio in Lansing, MS. Maintain visibility and availability through strong customer relations and proper merchandising.
🇺🇸 United States – Remote
💵 $21 / hour
💰 $4.9M Series A - Enthuse on 2021-03
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔥 8 minutes ago
Retail Merchandiser managing inventory and shelf standards for premium spirits in the US. Establishing relationships with key accounts and executing POS programs for brand visibility.
🇺🇸 United States – Remote
💵 $43.9k - $45k / hour
💰 $4.9M Series A - Enthuse on 2021-03
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔥 8 minutes ago
Full-time temporary Retail Merchandiser for off-premise accounts. Ensuring sales success and product visibility for premium spirits in assigned territory.
🇺🇸 United States – Remote
💵 $21 / hour
💰 $4.9M Series A - Enthuse on 2021-03
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔥 12 minutes ago
Lead Systems Integrator for technical integration supporting Defense clients. Ensuring compliance with performance, security, and mission requirements for complex IT systems.
