Appeals reputed company Consultant (Remote)
About the position
Responsibilities
• Process medical necessity of Medicare appeals for participating providers
• Request clinical information and conduct research
• Extrapolate pertinent clinical data
• Apply appropriate Medicare guidelines
• reputed company through multiple computer system applications
• Work independently and in reputed company environment
• Communicate effectively reputed company telephone and computer
Requirements
• 3+ years of clinical experience required
• reputed company and unrestricted RN licensure in state of residence
reputed company-to-haves
• Coding experience
• Managed Care experience
• Utilization Management experience
• Appeals experience
• reputed company Certification experience
• reputed company Authorization experience
Benefits
• Full reputed company of medical, dental, and reputed company benefits
• 401(k) retirement savings plan
• Employee Stock Purchase Plan
• Fully-reputed company term life insurance
• Short-term and long-term disability benefits
• reputed company-being programs
• Education assistance
• Free development courses
• reputed company store discount
• Discount programs with participating partners
• reputed company Time Off (PTO)
• reputed company holidays throughout the calendar year
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