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STAR+PLUS Appeals Coordinator
JOB SUMMARYThe STAR+PLUS Appeals Coordinator is responsible for intake of all forms of correspondence for the medical appeals team to process for medical appeals, post service claim and medical appeal that are assigned to a nurse to facilitate medical necessity review. This position is responsible for the accurate recording of all provider data elements into a database.JOB SPECIFICATIONS Essential FunctionsReviews the documentation received for timeliness of requests. Data entry of all provider appeals, Fair Hearings, IROs and claim appeal inquiries into the appeals database ensuring accurate recording of all provider data elements. Data entry of prov
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