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Clinical Appeals Reviewer

Company: VirtualVocations
Location: Pasadena
Posted on: March 19, 2025

Job Description:

A company is looking for a Clinical Appeals Reviewer - National Remote.
Key Responsibilities

Manage administrative intake of members
Collaborate with healthcare facilities and clinical teams to manage service requests
Process referrals and prior authorizations, and assist with clinical case triage

Required Qualifications

High School Diploma / GED or equivalent experience
Must be 18 years of age or older
2+ years of customer service experience
Experience in the healthcare industry or related settings
Proficiency in Microsoft Windows-based programs

Keywords: VirtualVocations, Pasadena , Clinical Appeals Reviewer, Healthcare , Pasadena, Texas

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