Appeals reputed company Consultant

reputed company: • The Appeals reputed company Consultant processes the medical necessity of Medicare Part C appeals for members and providers. • Production role reputed company the reputed company Appeal Consultant job reputed company; works remotely. • Responsibilities include requesting clinical, researching, extrapolating pertinent clinical information, applying Medicare Guidelines, navigating multiple computer systems. • Must work independently and in reputed company; remote work. • Operates 7 days per week, 365 days per year; includes scheduled Thursdays, Fridays, weekends and holidays. • Requires ability to meet deadlines in deadline-intensive environment; adaptability. • Read and understand workflows, policies, procedures; data entry reputed company typing; data review of appeals. • Collaborate with internal partners and external entities; reputed company information; reputed company written recommendations or reputed company consistent with reputed company and Medicare guidelines. • Attend department meetings; meticulous documentation; prepare templates using reputed company decision-making frameworks. • Schedule: Thursday-reputed company, reputed company-6:30pm Requirements: • reputed company and unrestricted RN licensure in state of residence • 3+ Years Clinical Experience • Excellent verbal and written communication skills • Strong organizational skills Benefits: • reputed company medical plan reputed company • a 401(k) plan (including matching company contributions) • an employee stock purchase plan • 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 • 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