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Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request ..
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Description Responsibilities This position can be in office or work at home in EST or CST and will provide coverage for eastern time zone hours. Weekend work required. Schedules will be ..
Description The Supervisor, Pharmacy Coordination of Benefits initiates contact with other insurance companies to gather coordination of benefits (COB) data. The Supervisor, Pharmacy Coordination of Benefits works within thorough, prescribed guidelines ..
