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Appeals & Grievances Resolution Specialist

Job in Bowling Green, Warren County, Kentucky, 42103, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-09-30
Job specializations:
  • Business
    Regulatory Compliance Specialist
Salary/Wage Range or Industry Benchmark: 22000 - 43000 USD Yearly USD 22000.00 43000.00 YEAR
Job Description & How to Apply Below

Molina Healthcare in West Virginia is seeking a Claims Appeals Specialist to support member and provider claims activities, review disputes, and communicate resolutions in accordance with CMS standards.

The role focuses on researching appeals, grievances, and denials, coordinating necessary documentation, and ensuring timely, accurate responses while maintaining high service quality within regulatory guidelines.

We have an opening for a Appeals & Grievances Resolution Specialist in KY, United States within Sales.

We are currently recruiting a Appeals & Grievances Resolution Specialist for our team in KY, United States.

This is an excellent position to take on the Appeals & Grievances Resolution Specialist role at Molina Healthcare.

As a Appeals & Grievances Resolution Specialist, you will play an important part at Molina Healthcare in KY, United States.

We invite applications for the Appeals & Grievances Resolution Specialist position located in KY, United States.

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