• UM Reviewer

    Apex Health Solutions (Houston, TX)
    …preauthorization process; flags cases for review by the Appeals & Outcomes Coordinator Reports potential risk management cases or situations to the Medical ... reporting, as maybe delegated by the Quality & Outcomes Coordinator . Adheres to and apply all Health Solutions policies,...Supervisor, Manager, or Director. Achieves an in-depth knowledge of client benefit plans. Maintains a 90% or greater score… more
    Apex Health Solutions (03/09/25)
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