Coordinator, Complaint & Appeals
Clinical Careers Page(14 days ago)
About this role
The role involves reviewing and processing appeals, grievances, and complaints related to healthcare services to ensure compliance with regulations. It includes analyzing reports, reviewing decision accuracy, drafting communication, and supporting staff training.
Required Skills
- Medical Billing
- Claims Processing
- Healthcare Compliance
- Report Analysis
- Customer Service
- Appeals Management
- Coding Accuracy
- Database Management
- Decision Review
- Training and Development
About Clinical Careers Page
cvshealth.comCVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.
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