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Lori Poole
Senior Medical Review Nurse Alj at Cgs Administrators,
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Work Experience
Senior Medical Review Nurse Alj
Feb 2018 - Present · 6 years and 10 months
Medical Management
Jul 2017 - Feb 2018 · 7 months
nci
Lead Claims Review Analyst Iii
Sep 2016 - Mar 2017 · 6 months
Company Details
501-1000 Employees
Headquartered in Nashville, Tennessee, CGS Administrators, LLC (CGS) is a premier healthcare administrator with over 55 years of industry leadership. We are a proud part of the Celerian Group, a BlueCross BlueShield of South Carolina consortium of companies that help government and private healthcare plans navigate the complexities of a changing marketplace. Our dynamic staff performs all phases of healthcare administration, from claims processing and appeals management to call centers and fraud prevention. We prioritize customer satisfaction through a culture of continuous improvement, consistent performance, and excellent innovation. We also believe in giving back to the community by supporting nonprofits like Second Harvest, United Way, March of Dimes, and FiftyForward. Current CGS contracts for the Centers for Medicaid & Medicare Services (CMS) include Jurisdiction 15 A/B/HHH Medicare Administrative Contractor (MAC) and Jurisdictions B and C Durable Medical Equipment (DME) MACs. Our core experience as a MAC for multiple jurisdictions brings added value to these programs. Interested? Join our team! Click the “Jobs” tab to view current openings.
Year Founded
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Social Media
Linkedin
Industry
Government Administration, Medical Equipment
HQ Location
26 Century Blvd Ste ST610 Nashville, TN 37214-3685, US
Keywords
Healthcare Administrative ServicesClaims ProcessingHealthcare Fraud and Abuse PreventioBusiness Process Outsourcing
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