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Appeals reputed company Consultant (Remote)

Remote, USA Full-time Posted 2026-07-28
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 Apply tot his job Apply To this Job

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