Remote Clinical Appeals Nurse in Orange Park

Job ID: Available for Members

Location: Florida

Compensation: To Be Discussed

Staff Reviewed: Sat, Nov 10, 2018

Job Category: Healthcare, Insurance, Research

Telecommute Level: Majority

Travel Requirements: Possible Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company is seeking a Remote Clinical Appeals Nurse in Orange Park.

Core Responsibilities of this position include:

  • Determining root cause of each denial and apply company-specific coding for trending and analysis
  • Presenting a concise medical summary within each appeal
  • Composing clinical appeal letters

Position Requirements Include:

  • Demonstrates proficiency in Microsoft Office applications and others as required
  • At least one year case management experience required
  • State RN or LPN License required
  • Able to work effectively with other employees, patients and external parties
  • Professional presentation skills needed to represent facilities in legal issues
  • Demonstrates knowledge and understanding of organizational policies