• Appeals and Grievances

    Healthfirst (FL)
    …as: certain types of claim denials, member complaints, and member and provider appeals . The end-to-end process requires the Specialist to independently: + ... Work within a framework that measures productivity and quality for each Specialist against expectations + Additional duties as assigned **Minimum Qualifications** +… more
    Healthfirst (02/04/25)
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  • Intake Specialist Appeal and Grievance…

    BayCare Health System (Clearwater, FL)
    …responsibility and clinical excellence. **Summary:** + Handles and processes customer appeals and grievances in accordance with established guidelines, company ... policies, and legal regulations. + Receive and document customer appeals and grievances via multiple channels (phone, email, online portals) in systems. + Ensure… more
    BayCare Health System (12/06/24)
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