Remote RN Clinical Appeals Director in Long Beach

Job ID: Available for Members

Location: California

Compensation: To Be Discussed

Staff Reviewed: Mon, Apr 06, 2020

Job Category: Healthcare, Nursing

Telecommute Level: Occasionally

Travel Requirements: Onsite Required, Some Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Job Summary

A consulting firm is searching for a person to fill their position for a Remote RN Clinical Appeals Director in Long Beach.

Core Responsibilities Include:

  • Serving as client liaison for all Clinical Appeals clients
  • Managing the workflow for all Clinical Appeals Nurse staff
  • Acting as the subject matter expert for Clinical Appeals questions from Nurses and Clients

Qualifications for this position include:

  • Onsite/remote position
  • Prior experience as a Director of Clinical Appeals
  • Must have valid Registered Nurse (RN) License
  • Working knowledge of billing codes, Revenue Codes, CPT' s, etc
  • Possess knowledge and experience with national clinical criteria applied in Case Management
  • Experience and knowledge of managed care contracts, account receivables and revenue cycle functions