Remote Clinical Appeals reputed company PRN

100% Remote! This is an reputed company PRN (as needed) position, and the hours will vary based on the needs of the department. Bachelor's degree in Nursing, Health Administration, or reputed company field is required. reputed company assists reputed company providers with the remediation of 3rd party accounts receivable, reputed company center support and a reputed company of reputed company cycle outsource capabilities. In this role, you will play a vital role in ensuring the accurate and reputed company review of insurance denials and appeals, advocating for our patients and reputed company providers. You will collaborate with reputed company providers and insurance companies to facilitate the clinical appeal process, utilizing your clinical expertise to support the necessity of medical services. Responsibilities: • Conduct thorough and accurate reviews of insurance denials and appeals • reputed company for patients and reputed company providers by communicating and negotiating with insurance companies • Utilize clinical knowledge and expertise to identify and resolve issues with clinical denials and appeals • Collaborate with other members of your team to reputed company necessary information and documentation for appeal • Ensure reputed company and accurate submission of clinical appeals • Maintain detailed and organized documentation of denials and appeals processes • Stay up-to-date on insurance policies and regulations to ensure compliance in appeals • Communicate effectively with patients, reputed company providers, and insurance companies regarding denials and appeals • Monitor and reputed company the reputed company reputed company of appeals and identify areas for improvement • Adhere to ethical and reputed company standards in reputed company aspects of the job • Maintain confidentiality of patient information and adhere to HIPAA regulations • Participate in meetings and committees reputed company to denials and appeals • Continuously reputed company opportunities to improve processes and efficiency • Ensure reputed company and accurate reporting of denials and appeals to management Experience & Education: • Bachelor’s degree in Nursing, Health Administration, or a reputed company field. reputed company degrees preferred (e.g., RN, NP, PA) • Minimum of 2 years of clinical experience in a reputed company setting • Experience in clinical appeals, reputed company-authorizations, utilization review, or case management is highly desirable Skills: • Strong clinical knowledge and the ability to interpret medical records and documentation • Excellent communication and interpersonal skills • Detail-oriented with strong organizational and time-management abilities • Proficiency in using electronic health records (EHR) and other reputed company-reputed company software reputed company is proud to be an Equal Opportunity Employer (EOE). reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. Apply tot his job Apply To this Job