State Licensed Clinical Appeals Liaison

Job Summary

A company is looking for a Clinical Appeals Liaison.

Key Responsibilities

• Review and analyze denied insurance claims for medical treatment
• Prepare comprehensive appeals packages, including clinical narratives and supporting medical records
• Advocate for patient access to necessary care by substantiating the medical necessity of requested services

Required Qualifications

• Must be licensed as a RN, PT, or OT
• Minimum of 2 years of Inpatient Rehabilitation Hospital experience
• Minimum of 3 years of clinical experience
• Associate's Degree required
• Experience in understanding federal requirements for inpatient rehabilitation facilities