Clinical Appeals Specialist
Socket.dev
PHH Peak Health Holdings in the United States seeks a Clinical Appeals Coordinator/Appeals Nurse to build and manage health plan appeals from the ground up. You will investigate medical necessity requests, coordinate with the medical management team, and provide written responses to members and providers. The role reports to the Health Plan Manager of Utilization Review and focuses on regulatory standards, documentation, and customer service excellence. #J-18808-Ljbffr Socket.dev
Vacancy posted 2 days ago
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