Telecommute Clinical Appeals Nurse in Houston

Job ID: Available for Members

Location: Texas

Compensation: To Be Discussed

Staff Reviewed: Sat, Nov 10, 2018

Job Category: Healthcare, Nursing

Telecommute Level: Majority

Travel Requirements: Possible Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A healthcare company has a current position open for a Telecommute Clinical Appeals Nurse in Houston.

Candidates will be responsible for the following:

  • Determining root cause of each denial and apply company-specific coding for trending and analysis
  • Demonstrating understanding of use of all Medical Necessity software
  • Composing clinical appeal letters

Qualifications for this position include:

  • Demonstrates proficiency in Microsoft Office applications and others as required
  • Able to work effectively with other employees, patients and external parties
  • State RN or LPN License required
  • Demonstrates knowledge and understanding of organizational policies, procedures and systems
  • Able to perform basic mathematical calculations, balance and reconcile figures
  • Professional presentation skills needed to represent facilities in legal issues