Companies that use appeals include U.S. Department of the Treasury, Humana, Guidehouse, and several other companies.
| Rank | Company | % of all skills | Job openings |
|---|---|---|---|
| 1 | U.S. Department of the Treasury | 79% | 15 |
| 2 | Humana | 3% | 9,754 |
| 3 | Guidehouse | 2% | 3,355 |
| 4 | Deloitte | 2% | 25,347 |
| 5 | Highmark | 2% | 5,686 |
| 6 | CVS Health | 2% | 25,791 |
| 7 | Belk | 2% | 392 |
| 8 | URBN | 2% | 1,058 |
| 9 | Centene | 1% | 474 |
| 10 | Army National Guard | 1% | 3,217 |
What companies use Appeals the most?
1. U.S. Department of the Treasury
Zippia score 4.5
Most common skills for U.S. Department of the Treasury:
- Treasury
- IRS
- SharePoint
- PowerPoint
- Subpoenas
- Tax Issues
2. Humana
Zippia score 4.8
How Humana uses Appeals:
- Demonstrated knowledge working with questionable hospitalization stays, subrogation cases, appeals, denials and treatment plans.
- Utilized Argus/RX Nova, Microsoft Excel, and prepared correspondence within the Grievance and Appeals department
- Researched and resolved member Medicare complaints, grievances and appeals which ranged from enrollment issues to denied claims.
Most common skills for Humana:
- CMS
- Medicare
- Customer Service
- Outbound Calls
- Medicaid
- HIPAA
4. Deloitte
Zippia score 4.7
Most common skills for Deloitte:
- Project Management
- Java
- Business Development
- Process Improvement
- Business Process
- Financial Statements
5. Highmark
Zippia score 4.5
Most common skills for Highmark:
- Strong Analytical
- Customer Service
- Medicare
- PL/SQL
- Process Improvement
- Test Cases
6. CVS Health
Zippia score 4.6
How CVS Health uses Appeals:
- Make numerous calls to physicians office -Process Coverage Determination Appeals -Manage the incoming fax queue
- Assist with submitting appeals for the medications.
- Processed written appeals and telephone appeals with supporting documentation to various insurance companies and government payers.
Most common skills for CVS Health:
- Customer Service
- Patients
- CVS
- Inventory Management
- HIPAA
- Computer System
7. Belk
Zippia score 4.3
Most common skills for Belk:
- Sales Floor
- Sales Associates
- Customer Service
- R
- Inventory Management
- Oracle Sql
8. URBN
Zippia score 4.4
Most common skills for URBN:
- Sales Floor
- Bank Deposits
- Store Merchandise
- Store Operations
- Tech Packs
- Inventory Control
9. Centene
Zippia score 4.5
How Centene uses Appeals:
- Acted as medical resource for appeals function.
- Guided and educated providers on the process for proper appeals and assisted them to correct the issue with their claim.
Most common skills for Centene:
- Medicaid
- CMS
- NCQA
- Process Improvement
- Quality Standards
- PowerPoint
10. Army National Guard
Zippia score 4.1
Most common skills for Army National Guard:
- Combat
- Alertness
- Platoon
- Electrical Systems
- Technical Guidance
- Customer Service
11. Department of Homeland Security
Zippia score 4.5
How Department of Homeland Security uses Appeals:
- Updated Board of Immigration Appeals (BIA) log for tracking cases; entered daily activity in duty log.
- Have also written numerous appeals regarding issues such as writs, sentencing variances, and constitutional issues.
Most common skills for Department of Homeland Security:
- DHS
- Law Enforcement
- Customer Service
- Hazardous Materials
- Incident Reports
- SharePoint
12. Blue Cross & Blue Shield
Zippia score 4.3
How Blue Cross & Blue Shield uses Appeals:
- Process appeals of denied insurance claims.
- Reviewed claim appeals to ensure accurate coding and proper payment or denial through use of CRT, spreadsheets, and diskette.
- Forward claims to the appropriate department for modifications, adjustments, appeals, grievances, claims disputes and closures.
Most common skills for Blue Cross & Blue Shield:
- Customer Service
- Medicare
- HIPAA
- CPT
- Medicaid
- Insurance Claims
13. UnitedHealth Group
Zippia score 4.6
How UnitedHealth Group uses Appeals:
- Uphold or Overturn Initial claim processing decisions during Appeals process.
- Process appeal decisions and refer upheld appeals to Maximus and overturned appeals to claims for payment.
- Audited and edited letters being sent to members regarding Medicare appeals.
Most common skills for UnitedHealth Group:
- HIPAA
- Medicaid
- Elasticsearch
- Customer Service
- SAS
- Process Improvement
14. Evolent Health
Zippia score 4.6
Most common skills for Evolent Health:
- Maven
- Patient Education
- SQL Server
- VBA
- Extract Data
- Visio
15. Prime Therapeutics
Zippia score 4.8
Most common skills for Prime Therapeutics:
- SAS
- Hippa
- End-To-End Testing
- Medicare
- HIPAA
- Outbound Calls
16. Sanofi US
Zippia score 4.3
Most common skills for Sanofi US:
- Diabetes
- GLP
- Travel Arrangements
- FDA
- Clinical Trials
- Patients
17. Apria Healthcare
Zippia score 4.4
How Apria Healthcare uses Appeals:
- Submitted appeals for payment denials upon receipt of appropriate documentation, processed and followed-up on all Purchase Option letters to patients.
Most common skills for Apria Healthcare:
- Patients
- Medical Equipment
- Customer Service
- FDA
- Medicaid
- CPAP
18. Department Of Military Affairs
Zippia score 4.4
Most common skills for Department Of Military Affairs:
- Direct Support
- Defense Travel System
- Financial Statements
- OSHA
- Mortgage Loans
- ArcGIS
Other skills
- AAA companies
- ABA companies
- ACAS companies
- ACI companies
- ADL companies
- ALARA companies
- APA companies
- API companies
- ARDMS companies
- ARRT companies
- ASCP companies
- ASE companies
- ASTM companies
- ATM companies
- AVP companies
- AWS companies
- Ac Dc companies
- Academic Affairs companies
- Academic Programs companies
- Academic Support companies
- Access Database companies
- Account Executives companies
- Account Maintenance companies
- Account Management companies
- Account Reconciliations companies
- Accruals companies
- Acls companies
- Acute Care companies
- Adaptive companies
- Administer Medications companies
- Administrative Functions companies
- Administrative Hearings companies
- Administrative Tasks companies
- Admissions Process companies
- Adobe Audition companies
- Adobe Creative Suite companies
- Adobe Illustrator companies
- Adobe Indesign companies
- Adobe Lightroom companies
- Adobe Photoshop companies
- Adobe Premiere companies
- Advanced Life Support companies
- Aerospace companies
- Affordable Housing companies
- Aided Design companies
- Air Compressors companies
- Air Filters companies
- Air Tools companies
- Aircraft Maintenance companies
- Aircraft Systems companies
- Airframe companies
- Allen-Bradley companies
Updated December 28, 2023