Appeals & Grievances
The Supervisor of Appeals will lead a team of Appeal Specialists and Appeals Coordinators who service clinical and non-clinical appeals, and claim...
o Performs daily quality assessments for all function areas of the Appeals and Grievances Department to assure the integrity of processes – for...
This Appeal Coordinator position is responsible for medical appropriateness review of and the coordination of appeal reviews by peer consultants. The...
The Appeals Specialists investigates the appeal requests, gathers all pertinent information to ensure the appeals committee can provide an accurate...