1 – 3 of 3 jobs
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices.
Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but weve been part of the national landscape for more than seven decades, with our roots firmly
Summary We are currently hiring for an RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as an RN Appeals Analyst, you will research the substance of complex appeal or retrospective review