Grievance & Appeals Rep
Humana
Five Points, Wake County$82,341 - $82,341 est.Full-timePosted 21h ago
Become a part of our caring community The Grievances & Appeals Representative 3 manages client denials and concerns. We do this by conducting a comprehensive analytic review of clinical documentation to determine if an appeal, grievance, or further request is warranted. Then, the representative delivers a final determination based on trained skillsets or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/cu…
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