Appeals Nurse

Job is Expired
Location: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin
Compensation: Salary
Reviewed: Mon, Sep 11, 2023

Job Summary

A company is looking for an Appeals Nurse.

Key Responsibilities:
  • Examine medical records and claims information for first-level appeal cases
  • Utilize clinical knowledge to conduct medical review of claim documentation
  • Provide clear and concise written explanations for claim denials
Required Qualifications:
  • Bachelor's Degree in related field or equivalent post high school and/or related work experience
  • Active RN license applicable to state of practice
  • 4 or more years of experience in clinical nursing
  • Experience outside of direct patient care
  • Strong computer skills with experience working in multiple systems online

COMPLETE JOB DESCRIPTION

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