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Appeals Specialist at Blue Cross Blue Shield of Wyoming - ApplyBlast

Appeals Specialist

Blue Cross Blue Shield of Wyoming

4 months ago

3.6 on Glassdoor

Cheyenne, WY

Hybrid

Full Time

Junior

0 applicants

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About this role

A detail-oriented Appeals Specialist guides healthcare members and providers through the appeals process for Blue Cross Blue Shield Wyoming. You will set up cases, coordinate reviews with clinical teams and independent organizations, and manage communications to ensure timely resolution of all appeals.

Responsibilities

Guide members and providers through complex healthcare appeals processes
Set up and coordinate case reviews with clinical reviewers and IR Os
Maintain accurate records and track appeal timelines for timely resolutions
Communicate effectively with external agencies and internal stakeholders
Ensure strict adherence to state insurance regulations and company policies

Skills

About Blue Cross Blue Shield of Wyoming

bcbswy.com

Headquarters

Cheyenne, Wyoming, United States

Company Size

201-500 employees

Founded

1945

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BCBSWY offers individual, family, Medicare and group health plans with access to an unbeatable provider network. Find a plan, compare benefits, and more.