Clinical Appeals Analyst
Job is Expired
Location: Nationwide
Compensation: Salary
Reviewed: Mon, Oct 02, 2023
Job Summary
A company is looking for a Clinical Appeals Analyst for a remote position.
Responsibilities:
- Assess, analyze, and complete non-routine appeals and grievances to ensure customer satisfaction
- Document all work through external sources such as pharmaceutical companies, healthcare providers, and attorneys
- Report to the Manager, Nurse Lead/Team Leader, and Medical Lead
Qualifications:
- Must have an RN or LPN license in North Carolina
- Requires 3+ years of inpatient care experience in various units
- Experience with electronic medical record (EMR) systems
- Must adhere to mandated and legislative requirements set by the NCDOI or the NCQA
COMPLETE JOB DESCRIPTION
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Job is Expired