Remote Clinical Operations Specialist (Benefits & Care)

GEHA Health

G.E.H.A seeks a remote Clinical Operations support professional to engage with members and providers, coordinate claims, and determine medical necessity in line with contract provisions. The role emphasizes accurate documentation, communication, and compliance with HIPAA requirements.

Responsibilities include reviewing benefits, processing routine cases, and escalating complex matters to senior staff. The position offers competitive pay, benefits from day one, and hybrid/work-from-home options

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Vacancy posted 14 hours ago

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