- CVS Health (Tallahassee, FL)
- …from multiple business units. Ensure timely, customer focused response to complaints/ appeals . Identify trends and emerging issues and report and recommend solutions. ... of plan documents, claims research, letter writing. + 1 plus years working with appeals , claims, or compliance. (and/ or) + 1 plus years experience working with… more
- CHS (Clearwater, FL)
- …as well as transparency in reporting results, trends and issues to Senior Management and clients. * Management of relationships with Preferred Provider Organizations ... sent to re-pricing entities, unable to be systematically "matched", auto-adjudicated, in Examiner queues waiting to be adjudicated, and in either audit or needing… more