- CVS Health (Phoenix, AZ)
- …issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from ... outside plan sponsors or regulators. + Research and resolves incoming electronic appeals as appropriate as a "single-point-of-contact" based on type of appeal. +… more
- CVS Health (Phoenix, AZ)
- …conducts internal audits, and addresses any identified compliance issues with the Complaint and Appeals policies and procedures. Drafts and sends appeal ... each and every day. **Position Summary** Responsible for managing to resolution complaint /appeal scenarios for all products, which may contain multiple issues and… more
- CVS Health (Phoenix, AZ)
- …+ Verify caller enrollment status with Mercy Care Plan. + Collect and document accurate demographic information from members or callers, as well as from Mercy Care ... systems. + Confirm details such as whether members receive special assistance (applicable to members with serious mental illness). + Utilize the QuickBase database to complete intake forms, ensuring documentation of members' reasons for calling is thorough and… more