Coordinate case files with G&A Staff (administrative evaluation of timely filing, claim payments, insufficient information, etc.), Quality Management staff (quality of care issues) Medical Directors (clinical evaluation of covered services, appropriate level of care, medical necessity, quality of care, etc.) and/or the Chief Medical Officer (clinical evaluation of covered services, appropriate level of care, medical necessity, quality of care, etc.) as required. Responsibilities: Receive, sort, classify, prioritize, manage, and distribute inbound G&A mail, fax, inter-office, and other correspondence according to policies and procedures, the CMS Managed Care and Prescription Drug Benefit Manuals, and other regulatory and procedural rules, guidelines, and timeframes.