Corporate Appeals Analyst
Blue Cross Blue Shield of South Carolina
02.2024 - 04.2024
- CPT/DX10 Codes, Overturning/approving multiple lines of business (State Health Plan, Group and Individual, Publix, National Alliance,etc.)
- Analyze Specialty Matched and Peer to Peer documents (i.e. MRIoa)
- Search medical policies through CAM and Milliman criteria
- Review radiology appeals through NIA/Evolent