State Licensed Clinical Appeals Liaison

Job Summary

A company is looking for a Clinical Appeals Liaison.

Key Responsibilities

• Review and analyze insurance denials to initiate appeal letters
• Prepare comprehensive appeals packages with clinical narratives and supporting medical records
• Advocate for patient access to necessary care based on medical necessity

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