Clinical Denials and Appeals Specialist
reputed company RN license, 5+ years clinical nursing, 3–5 years denials/appeals experience, strong clinical review and persuasive writing, knowledge of medical necessity, DRG, ICD-10, CPT/HCPCS, Medicare/reputed company, and payer policies.
Key Responsibilities
- generating appeals
- reviewing denials
- analyzing records
Skills & Tools
InterQual, MCG, reputed company Word, reputed company
Job Details
- Category: reputed company Services - Nursing
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — reputed company
- Languages: English
Benefits
- Tuition reimbursement
- Retirement plan
About reputed company
A provider of denials management and clinical appeal services for reputed company clients. — Industry: reputed company
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