Coverage Determination/ Appeals Service Representative I Job at SGS Consulting, Texas

K1J2V1RTeVZ3TXNIV25EWTdwSjdjQzNvVVE9PQ==
  • SGS Consulting
  • Texas

Job Description

Job Responsibilities:

  • Review Fax documents appropriately and forward to appropriate queues
  • Update and maintain knowledge of relevant processes, regulations and clinical material.
  • Provide assistance or guidance in partnership with learning and innovation when needed
  • Participating in developmental discussions receiving feedback with Supervisor

Skills:

  • This is a Hybrid position; colleagues will work from office location and work virtually from home. Requirement for hybrid to report to office 3 days a week. Must have a dedicated quiet, separate space in which to work with wired internet meeting 25mbps min download and 5mbps minimum upload speed

Education/Experience:

  • Verifiable High School diploma or GED required

Job Tags

Work at office, 3 days per week

Similar Jobs

Royal Caribbean Group

Copywriter Job at Royal Caribbean Group

 ...guests. This position will be working onsite from Miami. Position Summary: Celebrity Cruises is looking for talented copywriters at every level to join their internal creative team. The copywriters will work alongside the strategy, product, and go-to-market... 

Dallas Behavioral Healthcare Hospital

Registered Nurse (Part time) Weekends- Saturday & Sunday Job at Dallas Behavioral Healthcare Hospital

 ...The Registered Nurse (RN) will provide professional nursing care to patients according to hospital policy and procedure; will assess patient care needs, plan and implement nursing care procedures, evaluate patient progress and modify care plans as necessary; will provide... 

Dream Preparatory Academy, INC.

Sports Administrator Job at Dream Preparatory Academy, INC.

 ...Preparatory Academy, Inc is seeking a dedicated and organized Part-Time Sports Administrator to oversee and coordinate our sports programs. The...  ...for students. Duties - Program Coordination: Organize and manage the school's sports programs, including scheduling practices,... 

GSI Environmental Inc.

Early-Career Environmental Engineer/Scientist/Geologist Job at GSI Environmental Inc.

 ...academic know-how, develop superior technical skills, and collaborate with top-notch industry professionals on a variety of exciting environmental projects, then GSI Environmental is the place for you! At GSI, we seek the best and brightest talent and provide a supportive... 

Merck & Co.

Associate Scientist, Postdoctoral Fellow- Computational Peptide Modeling Job at Merck & Co.

Job Description Postdoctoral Research Fellow - Modeling & Informatics - - Be a part of the legacy: Postdoctoral Research Fellow Program - - Our Research Laboratories' Postdoctoral Research Fellow Program aims to be a best-in-industry program for industrial postdoctoral ...