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Conifer Health Solutions

Lebanon, New Hampshire

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Conifer Health Solutions

Frisco, Texas

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Conifer Health Solutions

Frisco, Texas

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Conifer Health Solutions

Frisco, Texas

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

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AdventHealth

Winter Park, Florida

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Banner Health

Phoenix, Arizona

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Banner Health

Phoenix, Arizona

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Banner Health

Phoenix, Arizona

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

Conifer Health Solutions Logo
Conifer Health Solutions

Frisco, Texas

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Appeals and Grievance Specialist II
DescriptionSummary:This position requires the ability to work independently researching and reviewing inquiries from members and providers. Also requires knowledge of benefit interpretation, claims reviews, CPT and ICD coding. Responsible for reviewing, classifying, researching and resolving member complaints (grievances and/or appeals) and communicating resolution to members or their authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services and TRICARE. Coordinates with pertinent departments to effectuate resolution resulting from grievance and appeals resolution decisions made at the plan level or by independent review entities. Adheres to CHRISTUS Health Plan pol


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