Medicare Pre Service Appeal Analyst

at CVS Health
Location Fresno, CA
Date Posted September 14, 2020
Category Provider Relations
Job Type Full-time

Description

Serve as a technical resource to colleagues on claim research, SPD/COC interpretation, letter content, state or federal regulatory language, triaging of appeal issues, and similar situations requiring a higher level of expertise. Research Standard Plan Design or Certification of Coverage pertinent to the member to determine accuracy/appropriateness of benefit/administrative denial....

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