Appeals and Grievances Clinical Specialist
France Cars SAS AAA(13 days ago)
About this role
The Clinical Specialist in Appeals & Grievances is responsible for managing clinical cases related to member complaints, grievances, and appeals within a healthcare organization. They investigate, develop, and resolve cases independently, ensuring compliance with regulations and internal policies. The role involves collaboration, documentation, and preparation of cases for review and appeals processes.
Required Skills
- RN
- LPN
- Clinical Practice
- Appeals Management
- Regulatory Compliance
- Case Resolution
- File Documentation
- Medical Coding
- Utilization Review
- Care Management
Qualifications
- RN or LPN
About France Cars SAS AAA
bloomberg.comBloomberg is a global leader in financial information and technology, providing data, news, and analytics to financial professionals around the world. The company offers an array of products and services, including the Bloomberg Terminal, which delivers real-time data and insights for trading, investment, and risk management. With a commitment to innovation, Bloomberg combines cutting-edge technology with extensive market expertise to empower financial professionals in making informed decisions.
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