and utilize each person’s talents and strengths. Accountable for the effective management of appeals clinical staff. Responsible... for hiring, training, coaching, counseling, and evaluating team member performance. May be called upon to perform routine day...
knowledge (Understands clinical reviews) Understanding of claims, billing and coding Facets/claims systems in appeals, SIU...’s dedicated Policy & Implementation team is living our mission to make health care easier and lives better. As a member of the...
and participate in clinical interdisciplinary rounds with our medical directors, utilization management, disease management, appeals... team focused on early identification, proactive engagement, and targeted interventions for members showing early signs...