• Appeal and Grievance

    CVS Health (Frankfort, KY)
    …units. Ensure timely, customer focused response to appeals, complaints and grievance . Identify trends and emerging issues and report and recommend solutions. ... -Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct… more
    CVS Health (01/09/25)
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  • Sr Appeal and Grievance

    CVS Health (Frankfort, KY)
    …of case. -Can identify and reroute inappropriate work items that do not meet appeal , complaint and grievance criteria as well as identify trends in misrouted ... member eligibility data, billing/payment status, and prior to initiation of the appeal process. -Serves as point person for newer staff in answering questions… more
    CVS Health (01/09/25)
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