Expired Clinical Appeals Specialist jobs in Meridian, ID
Meridian, ID
$29,029-$113,460/year (est.)
Under limited supervision, manage the clinical review of provider and member appeals for all product lines to ensure timely resolution within required turnaround times, utilizing member contract or EOC, published clinical criteria, medical policy or Medicare coverage criteria, as applicable. Three...
Meridian, ID
$29,029-$113,460/year (est.)
Blue Cross of Idaho is seeking a Clinical Appeals nurse who can handle the clinical review of provider and member appeals for all product lines. This individual will ensure timely resolution within required turnaround times, utilizing member contract or EOC, published clinical criteria, medical...