Coverage Determination/ Appeals Service Representative I
Job Responsibilities:
- Review Fax documents appropriately and forward to appropriate queues
- Update and maintain knowledge of relevant processes, regulations and clinical material.
- Provide assistance or guidance in partnership with learning and innovation when needed
- Participating in developmental discussions receiving feedback with Supervisor
Skills:
- This is a Hybrid position; colleagues will work from office location and work virtually from home. Requirement for hybrid to report to office 3 days a week. Must have a dedicated quiet, separate space in which to work with wired internet meeting 25mbps min download and 5mbps minimum upload speed
Education/Experience:
- Verifiable High School diploma or GED required
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