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TMC HealthCare. about 1 month ago
Competitive
Full-Time
United States
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Practice Interviews forClinical Validation Appeals Specialist - Remote

Can you describe your experience with handling clinical validation appeals?

How do you stay updated on changes in payer policies and clinical guidelines?

What strategies do you use to ensure timely submission of appeals?

How do you handle situations where a provider disagrees with your appeal strategy?

Can you provide an example of a challenging appeal you successfully resolved?

TMC HealthCare
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About TMC HealthCareSince 1944, members of our community have counted on Tucson Medical Center to be here for them when they are at their most vulnerable. Over the years, TMC has grown to include its umbrella organization, TMC HealthCare, as well as TMCOne, providing prim...