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© All Rights Reserved. ApplyBlast.com
Healthfirst
An Appeals Specialist at Healthfirst processes member and provider appeals across commercial, Medicaid, and Medicare lines of business. The role involves investigating non-clinical cases, interpreting federal and state regulations, and resolving claim denials while ensuring compliance. Specialists manage their own caseloads, prepare documentation, and identify trends to support process improvements.
Headquarters
New York, New York, United States
Company Size
1001-5000 employees
Founded
1993
Healthfirst is a New York-based health insurer offering Medicare Advantage, Medicaid, Essential Plans, Child Health Plus, and other individual and family plans, along with long-term care options. Serving New York City, Long Island, Westchester, Rockland, Sullivan and surrounding areas, Healthfirst emphasizes a broad provider network, care coordination, and member resources to help New Yorkers access affordable health coverage.
14% above the average for this role