Job Summary
A health care organization has a current position open for a Telecommute Clinical Appeals Nurse in Orange Park.
Candidates will be responsible for the following:
- Composing clinical appeal letters to send to payers
- interpreting medical payer policy requirements
- Identifying problem accounts/processes/trends
Applicants must meet the following qualifications:
- 1+ year Case Management, Utilization Management, and/or Clinical Appeals experience
- State RN or LPN License required (Active/Inactive)
- Demonstrates proficiency in Microsoft Office applications and others as required
