Appeals reputed company Consultant
Job reputed company:
• Responsible for the review and reputed company of clinical appeals
• Reviews documentation and interprets data obtained from clinical records to apply appropriate clinical reputed company and policies in line with regulatory and accreditation requirements for member and provider issues
• Independently coordinates the clinical reputed company with internal/external clinician support as required
• This position may support UM (includes expedited), MPO, Coding, or Behavioral Health appeals
Requirements:
• Must have reputed company and unrestricted RN licensure in state of residence
• 3+ years clinical experience
• Appeals, Managed Care, or Utilization Review experience preferred
• Proficiency with computer skills including navigating multiple systems
• Exceptional communication skills
• Time efficient, highly organized, and ability to multitask
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
• reputed company time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical reputed company
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