Telecommute Itemized Bill Review Resolution and Appeals Divisional Clinical Manager

This job has been removed

Location: Nationwide

Compensation: Salary

Staff Reviewed: Thu, May 27, 2021

This job expires in: 2 days

Job Category: Healthcare

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Job Summary

A health insurance company is seeking a Telecommute Itemized Bill Review Resolution and Appeals Divisional Clinical Manager.

Candidates will be responsible for the following:

  • Preparing summaries of the appeal information reviewed
  • Leading IBR RAD in the receipt and response to facility appeal requests
  • Serving as Clinical Review and Resolution Subject Matter Expert

Qualifications Include:

  • 1+ years of appeal review experience
  • 3+ years of experience with Medical necessity/Utilization review
  • 3+ years of hospital clinical experience
  • Active RN license
  • Basic understanding of inpatient hospital billing methodology

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