Staffing
Health Services - Nurse, Clinical Appeals Nurse, Clinical Appeals
Staffing, Baltimore, Maryland, United States, 21201
Clinical Appeals Specialist
The Clinical Appeals Specialist completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Specialist utilizes clinical skills and knowledge of all applicable state and federal rules and regulations that govern the appeal process for commercial and government programs lines of...
The Clinical Appeals Specialist completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Specialist utilizes clinical skills and knowledge of all applicable state and federal rules and regulations that govern the appeal process for commercial and government programs lines of...