Job Summary
A healthcare company has a current position open for a Telecommute Revenue Cycle Appellate Clinician in Frisco.
Candidates will be responsible for the following:
- Recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review
- Preparing and documenting appeal based on industry accepted criteria
- Performing retrospective medical necessity reviews to determine appellate potential of clinical disputes
Qualifications for this position include:
- Must possess a valid nursing license
- Minimum of 5 years recent acute care experience with the last 2 years in a facility environment
- Minimum of 2 years UR/Case Management experience within the last 2 years