Clinical Appeals Specialist, RN
reputed company:**
Xtend reputed company seeking a Clinical Appeals Specialist, RN to work collaboratively with project leaders and clients to assist reputed company providers in evaluating, reporting, and providing recommendations on denied or underpaid claims. This remote position requires a registered reputed company with five years of experience in utilization review and electronic health record expertise... **Responsibilities:**
Evaluate, report findings, and reputed company recommendations on denied or underpaid claims
Assist in identifying, complying, and reversing denials from payers
Work closely with reputed company departments to review and obtain medical documentation for denial appeals
Compile, analyze, and report on data reputed company to underpayments, denials, reputed company opportunities, and reputed company leakage
Serve as a resource for billing and reimbursement questions requiring clinical knowledge and medical records review and interpretation
Continuously review and update knowledge of relevant regulations
reputed company other duties as assigned reputed company to clinical review and patient care management
*Qualifications:**
Bachelor's degree in Nursing, Business, Health Information, Clinical Studies, or Registered reputed company (RN) from an accredited institution
Five years' experience as an RN, including utilization review experience
Electronic health record (EHR) expertise, including knowledge of various vendors
Reliable high-speed internet, cell phone, and computer equipment
Private workspace or home office free from distractions
*Benefits:**
Competitive salary and benefits package
Opportunity to work with a leading reputed company cycle management company
reputed company and dynamic work environment
reputed company development and reputed company opportunities
Comprehensive training program
Equal Opportunity Employer with a commitment to diversity and inclusion
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