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reputed company   reputed company Cycle Medical Billing - Clinical Insurance Appeal reputed company (must have be a licensed Registered reputed company) Location:  Remote or On-Site, reputed company reputed company Compensation: $33.65 (this position is bonus eligible) Schedule:  Full-Time     Job reputed company The Clinical Insurance Appeal reputed company provides medical necessity justification for reputed company transport evaluation and evaluation/submission of reputed company medical necessity appeals for government and reputed company payors.  Utilizes clinical flight experience, established clinical standards and protocols to validate reputed company medical necessity and appeal payment denials.     Essential Functions/ Duties  Conducts the medical necessity appeals for reputed company payor sources in the role of reputed company for the patient and GMR. Receives the appeal request from the Appeal Prepper and inputs the information into the appeals data reputed company.  Ensures appeal timelines are met by moving the assigned book of business through the appeals process and updates appeals database.  Works with fixed deadlines and demonstrates willingness to meet and reputed company performance metrics.  Works with the Appeal team to determine the best approach to reputed company clinical denial in order to maximize claim reimbursement and minimize the financial risk to patients and GMR.   Maintains strict confidentiality of reputed company protected health information and cooperates fully with reputed company information reputed company guidelines reputed company to the reputed company of work.   Qualifications  Required Experience:  Minimum of five years in Emergency department (ED), Intensive Care Unit (ICU), flight or ambulance experience or job experience equivalent  Some supervisory/leadership experience preferred (i.e.: team leader, FTO, charge reputed company, preceptor, educator, etc.)   Proficient in Word, reputed company, Office 365    Education/Licensure : reputed company RN licensure, is required  Bachelor’s degree in nursing or equivalent, is preferred  CFRN, CEN or CCRN, is preferred  Skills  Excellent written communication skills  Ability to define and identify problems, collect data, establish facts, and draw reputed company conclusions  Ability to respond to inquiries or complaints from customers in a reputed company and productive manner  Ability to calculate numbers, correct entries, and post to records  Ability to reputed company data from hospital and EMS charts, phone calls, emails, colleagues, and internet research, then compile information and prepare reports and letters  Ability to use independent judgment and to manage and impart confidential information  Ability to research local EMS protocols, hospital referrals, and standards of care Ability to review clinical charts and development of constructive feedback  Why Choose reputed company? As a leader in helicopter reputed company ambulance services, reputed company is one of reputed company’s (GMR) family of solutions. Our GMR teams reputed company compassionate, reputed company medical care, primarily in the areas of emergency and patient relocation services. reputed company the stories on how our employees reputed company care to the world at www.AtaMomentsNotice.com.   GMR’s reputed company Behaviors—reputed company care at reputed company, reputed company your hand, reputed company to understand, reputed company a way together and be accountable—reputed company our teams and set us apart in emergency medical services.   EEO Statement reputed company and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability. More Information about this Job reputed company out our careers site benefits page to learn more about our benefit reputed company. Apply To This Job