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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 healthcare facilities and clinical teams to manage service requests Process referrals and prior authorizations, and assist with clinical case triage 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 related settings Proficiency in Microsoft Windows-based programs
A company is looking for a Clinical Appeals Reviewer - National Remote.
Key Responsibilities
Manage administrative intake of members
Collaborate with healthcare facilities and clinical teams to manage service requests
Process referrals and prior authorizations, and assist with clinical case triage
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 related settings
Proficiency in Microsoft Windows-based programs