Clinical Appeals Reviewer

A company is looking for a Clinical Appeals Reviewer - National Remote. Key Responsibilities: Manage administrative intake of members Collaborate with hospitals, clinics, and the clinical team to manage service requests Process referrals and prior authorizations, including intake and resolution of inquiries Required Qualifications: High School Diploma / GED or equivalent experience Must be 18 years of age or older 2+ years of customer service experience Experience in the healthcare industry or medical settings Proficient with Windows-based programs, including Microsoft Word, Excel, and Outlook

May 9, 2025 - 23:24
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Clinical Appeals Reviewer
A company is looking for a Clinical Appeals Reviewer - National Remote. Key Responsibilities: Manage administrative intake of members Collaborate with hospitals, clinics, and the clinical team to manage service requests Process referrals and prior authorizations, including intake and resolution of inquiries Required Qualifications: High School Diploma / GED or equivalent experience Must be 18 years of age or older 2+ years of customer service experience Experience in the healthcare industry or medical settings Proficient with Windows-based programs, including Microsoft Word, Excel, and Outlook