Remote Senior Clinical Appeals Coordinator
Univera HealthСare
Univera Healthcare is seeking an Advocacy Clinical Review Coordinator to investigate member and provider appeals, grievances, and complaints across all business lines. You will review medical necessity requests, determine appropriateness of care, and expedite cases within regulatory timelines. The role collaborates with Medical Directors, Sales, Compliance, and Legal to ensure accurate decisions, while maintaining data integrity, privacy, and timely communications with stakeholders. #J-18808-Ljbffr
Vacancy posted 5 days ago
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