Nurse Appeals Sr/ Nurse Appeals - Central Region - PS30752
The Job Holder
Georgia
Jan 14, 2020
Client Name
Anthem, Inc.
Requirements
Essential obligations may incorporate, however, are not restricted to:
- Behaviors examinations and audits of all appropriate data identified with part potential nature of care occasions, clinical complaints, and episode reports.
- Extrapolates and outlines therapeutic data for restorative executives, specialists and other inward or outside survey substances.
- Gets ready suggestions to either maintain or deny offer and advances to Medical Director for endorsement.
- Guarantees' work is settled conveniently to meet administrative and contract time spans.
- Records and logs data on significant following frameworks and centralized server frameworks.
- Creates composed correspondence and additionally verbal exchange with suppliers, individuals, and administrative elements.
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