Summary We are currently hiring for an RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role... as an RN Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including pre-pay...
and in accordance with applicable regulations or standards. •30% Performs thorough research of the substance of service appeals... UTILIZATION REVIEW WORD CUSTOMER SERVICE ORIENTED MEDICAL REVIEW MICROSOFT EXCEL MICROSOFT WORD RETAIL SALES RN RN LICENSE...