Telecommute Clinical Appeals Nurse in Norcross

Job ID: Available for Members

Location: Georgia

Compensation: To Be Discussed

Staff Reviewed: Fri, Dec 13, 2019

Job Category: Accounting, Healthcare, Nursing

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Additional Information: Benefits Available

Job Summary

A health business processing company is seeking a Telecommute Clinical Appeals Nurse in Norcross.

Candidates will be responsible for the following:

  • Composing clinical appeal letters to send to payers for denial reconsiderations
  • Presenting a concise medical summary within each appeal based on support from the medical record
  • Demonstrating ability to interpret medical payer policy requirements

Position Requirements Include:

  • Currently licensed as a registered nurse (RN or LPN) required
  • One year of case management experience required
  • Clinical appeals experience preferred