Grievance & Appeals Representative
Humana · Capitol, Richmond
$56,675 per year · Full-Time · Posted 6 hours ago
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About the job
Become a part of our caring community The Grievances & Appeals Representative 2 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request is warranted and then delivers final determination based on trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 2 performs varied activities and moderately complex administrative/operatio…
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