Telecommute Clinical Appeals Nurse in Irving

Job is Expired
Location: Texas
Compensation: To Be Discussed
Staff Reviewed: Wed, Nov 13, 2019

Job Summary

A healthcare company is in need of a Telecommute Clinical Appeals Nurse in Irving.

Individual must be able to fulfill the following responsibilities:

  • Compose clinical appeal letters
  • Determine root cause of each denial
  • Identify problem accounts/processes/trends

Required Skills:

  • State RN or LPN License
  • 1 year case management experience OR
  • Relevant education may substitute experience
  • Understanding of use of all Medical Necessity software
  • Ability to interpret medical payer policy requirements
  • Ability to research evidence-based practices

COMPLETE JOB DESCRIPTION

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