RN Appeals Writer

Description:**Appeal Experience REQUIRED**RESPONSIBLE FOR: Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current...

Description:**Appeal Experience REQUIRED**RESPONSIBLE FOR: Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current...

Description:**Appeal Experience REQUIRED**RESPONSIBLE FOR: Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current...

Description: **Appeal Experience REQUIRED** RESPONSIBLE FOR: Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining...

Description: JOB PURPOSE: The individual in this position on behalf of the entire Piedmont System will be responsible for managing the administrative appeal of reimbursement claims denied by Medicare or Medicaid on the grounds that the medical coding was incorrect. These duties involve coordination of activities with the managers of coding at each of the...

Description:RESPONSIBLE FOR: Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current knowledge base of medical...

Description:RESPONSIBLE FOR: Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current knowledge base of medical...

Description:RESPONSIBLE FOR: Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for Medicare and Medicaid appeals documentation and briefs in support of denied cases under appeal at all levels of the government appeals process; maintaining current knowledge base of medical...

Job Title: Nursing - Appeal Analyst RN I Location: Remote ( Wall NJ) Remote role candidate is required to be 100% onsite for training (1-2 weeks or as required). Duration: 3 Months + possible extension Job Description: · Appeal Analyst RN who will train new hire in the clinical role to complete Utilization Management...

A healthcare organization in New Jersey is actively seeking a driven Appeal Analyst Nurse (RN) to join their staff in a remote capacity. In this role, the Appeal Analyst Nurse (RN) prepares and presents appeals to Provider Appeals Committee in accordance with criteria including coordination with independent URO.ResponsibilitiesThe Appeal Analyst Nurse...

Your Role The Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Appeals and Grievances RN Senior will report to the Manager of the Appeals and Grievances team. In this role you will perform accurate and timely clinical review of...

DescriptionSummary: Responsible for the management and communication of denials/appeals received from third party payers, managed care companies, and/or government entities/auditors related to medical necessity and/or level of care. This associate will be a liaison and point of contact for clinical denials and appeal inquiries. The Clinical Appeals Nurse...

Are you looking for a high energy, strategic, and fast-paced position as a Critical Care RN Course Writer/SME? Join Relias, the company changing lives throughout the world by helping healthcare organizations improve their clinical and financial outcomes! For 11,000+ health care and human service organizations, Relias helps clients deliver better clinical...

UX Designer (Newsletter & Email Marketing Specialist) Atlanta, GA (Hybrid) Contract-to-Hire We are seeking a Tactical UI/UX Designer with expertise in newsletter and email marketing design to join our Media & Journalism on a Contract-to-Hire basis. This individual will play a pivotal role in the day-to-day design operations, focusing on the tactical...

UX Designer (Newsletter & Email Marketing Specialist) Atlanta, GA (Hybrid) Contract-to-Hire We are seeking a Tactical UI/UX Designer with expertise in newsletter and email marketing design to join our Media & Journalism on a Contract-to-Hire basis. This individual will play a pivotal role in the day-to-day design operations, focusing on the tactical...

Tactical Designer (Newsletter & Email Marketing Specialist)Atlanta, GA (Hybrid)Long-Term Contract-to-HireWe are seeking a Tactical UI/UX Designer with expertise in newsletter and email marketing design to join our Media & Journalism on a Contract-to-Hire basis. This individual will play a pivotal role in the day-to-day design operations, focusing on the...

UR Specialist - RN/LPN | Willingway | Statesboro, GeorgiaAbout the Job: The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations and complete other pertinent processes....

UR Specialist - RN/LPN | Willingway | Statesboro, GeorgiaAbout the Job:The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations and complete other pertinent processes....

Crossroads Hospice & Palliative Care is interested in meeting with Registered Nurse leaders who are driven to provide the best end-of-life experience to patients and families in our community. Over the last year, we have worked tirelessly to build a core culture of teamwork and compassion.As a Clinical Director for Crossroads Hospice, you oversee all direct...

RNnetwork is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Albany, Georgia.Job Description & RequirementsSpecialty: ED - Emergency DepartmentDiscipline: RNStart Date: 06/17/2024Duration: 17 weeks48 hours per weekShift: 12 hours, nightsEmployment Type: TravelAs an emergency room nurse in Albany, GA, you'll play a crucial role...