Job Summary
A leading healthcare company is seeking a Remote Clinical Appeals Registered Nurse in the San Antonio Area.
Core Responsibilities Include:
- Researching clinical studies for points of argument for appeals
- Communicating with payors to obtain timely decisions on appeals
- Assigning appeal requests to coworkers as needed (rotating schedule)
Applicants must meet the following qualifications:
- Licensed Registered Nurse (RN) in the State of Texas
- 2+ years of clinical experience as a Registered Nurse
- 2+ years of experience in Rheumatology, Dermatology, Oncology, Hepatitis C/Multiple Sclerosis disease states