Senior Coordinator, Complaint & Appeals - Work From Home

Clinical Careers Page(7 days ago)

KansasOnsiteFull TimeMedior$37,000 - $63,440Customer Service/Claims Management

About this role

This role involves managing complex Fast Track Appeal scenarios for Medicare products, ensuring compliance with regulations, and acting as a subject matter expert on appeals processes. The position requires coordination across multiple departments and interaction with members, providers, and regulatory bodies.

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Required Skills

CMS Guidelines
Excel
Word
Appeals Process
Claims Management
Regulatory Compliance
Customer Service
Data Analysis
System Research
Medicare

About Clinical Careers Page

cvshealth.com

CVS 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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