• Member Appeals and Grievance…

    Fallon Health (Worcester, MA)
    …applicable regulatory requirements and member expectations. The FH Member Appeals and Grievance Intake Administrator serves to administer the FH ... Appeals and Grievance process as outlined in the FH ...Coverage, departmental policies and procedures, and regulatory standards. The Member Appeals & Grievances Intake … more
    Fallon Health (08/01/25)
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  • Member Service Rep

    Commonwealth Care Alliance (Boston, MA)
    …appointments, transportation, translation, and interpretation services. * Initiates prior authorization intake process. * Assist in resolving member billing ... documents including provider listings in their areas. * Complete comprehensive appeal and grievance intakes. * Collaborate with the member to accurately document… more
    Commonwealth Care Alliance (07/10/25)
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