Job Description: The Clinical Appeals Specialist completes research, basic analysis, and evaluation of member... and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Specialist utilizes clinical skills...
JOB Title: Nurse, Clinical Appeals-- Hiring Now! 5+ Roles to be filled IMMEDIATELY! Job Description: The... Clinical Appeals Specialist completes research, basic analysis, and evaluation of member and provider disputes regarding...
related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals. Assess... rules and regulations. Requirements Licensure / Certification / Registration: Registered Nurse credentialed from the...
related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals. Assess... rules and regulations. Requirements Licensure / Certification / Registration: Registered Nurse credentialed from the...