- Robert Half Accountemps (Eden Prairie, MN)
- Description Clinical Appeals Representative (Contract - Fully Remote) We're seeking a detail-oriented Clinical Appeals Representative to join our ... health insurance operations by managing documentation, coordinating with providers, and ensuring appeals and grievances are processed accurately and on time. This is… more
- Robert Half Office Team (Minneapolis, MN)
- …Are you looking for a rewarding remote role in healthcare administration? This Clinical Appeals Representative position offers the opportunity to make ... a meaningful impact while working from the comfort of your home. As a Clinical Appeals Representative , you will play a key role in managing the intake and… more
- CVS Health (St. Paul, MN)
- …to incoming correspondence and internal referrals. + Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management. ... Fluency in English and Spanish is required.** **Position Summary** Customer Service Representative is the face of Aetna and impacts members' service experience by… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …needs across the continuum of care by leveraging member partnership, pre-service clinical utilization review, case and disease management processes, skill sets and ... and eligibility in a call center environment. * Conducts comprehensive clinical assessments; gathers, analyzes, synthesizes and prioritizes member needs and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …domains, including utilization management, prior authorization, claims, denials, and appeals . Their work goes beyond extraction; it involves interpreting nuanced ... as Network and Pharmacy, ensuring data is pulled using the most representative methods. They also support high-risk regulatory reporting, where precision and speed… more