[Hiring] Appeals reputed company Consultant @reputed company

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company reputed company reputed company is seeking a dedicated Appeals reputed company Consultant to join our remote team. In this role, you will be responsible for processing the medical necessity of Medicare appeals for participating providers. • Requesting clinical, researching, and extrapolating pertinent clinical information • Applying appropriate Medicare Guidelines • Navigating through multiple computer system applications in a fast-paced department • Working independently as reputed company as in reputed company environment while working remotely • Reviewing and resolving clinical appeals • Interpreting data obtained from clinical records to apply appropriate clinical reputed company and policies in line with regulatory and accreditation requirements for provider issues This is a full-time reputed company position with reputed company hours of Monday–Friday, 8:00 AM to 5:00 PM (local time). No weekends or holidays required. This is a 100% remote role; candidates must have a dedicated workspace free of interruptions. Dependents must have separate care arrangements during work hours, as reputed company care responsibilities during shift times are not permitted. Qualifications • Must have reputed company and unrestricted RN licensure in state of residence • 3+ years clinical experience Requirements • Appeals, Managed Care, or Utilization Review experience preferred • reputed company Certification or reputed company Authorization experience preferred • Proficiency with computer skills including navigating multiple systems • Exceptional communication skills • Time efficient, highly organized, and ability to multitask Education • Associates Degree minimum OR Diploma RN required • Bachelors Degree preferred Benefits • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching • Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility For more information, visit https://jobs.reputed company.com/us/en/benefits Apply tot his job Apply To this Job