RN Appeals Writer

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:JOB PURPOSE: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 coding,...

Description:JOB PURPOSE:Detailed review,analysis and extraction of clinical information from patientmedical records and drafting of effective narratives for Medicareand Medicaid appeals documentation and briefs in support of deniedcases under appeal at all levels of the government appeals process;maintaining current knowledge base of medical coding, federal...

Description:JOB PURPOSE: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 coding,...

Description:JOB PURPOSE: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 coding,...

Description:JOB PURPOSE: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 coding,...

Description:JOB PURPOSE: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 coding,...

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...

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...

Your Role The Medi-Cal Member 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 Medi-Cal Appeals and Grievances RN Senior will report to the Appeals and Grievances Manager. In this role you will perform accurate and timely clinical...

Job Summary:As a Managed Care Appeals Representative at Aspire Health Partners, you will play a critical role in ensuring our clients receive the healthcare services they need. Your primary responsibility will be to review and resolve insurance claims that have been denied or disputed by insurance carriers for lack of authorization or medical necessity....

Job SummaryWe are seeking a highly skilled RN Hospital Bill Audit/Appeal Lead to join our team at Elevance Health. As a key member of our Payment Integrity line of business, you will be responsible for leading a team of clinicians in identifying and analyzing aberrant patterns of utilization and/or fraudulent activities by healthcare providers.Key...

Details Department: Patient AccountingSchedule: Monday-Friday, standard business hours with a start time between 7am and 9am.Hospital: Ascension St. AgnesLocation: Baltimore, MDSalary: $35.84-$53.76Actual compensation offered will vary based on factors including applicable licenses, certifications, education, experience, location, qualifications and...

Your Role The Medical Care Solutions Appeals and Grievance team is hiring an RN who will be responsible for leading the clinical appeals and grievance team for the Commercial line of business. The RN manager will report to the RN Senior Manager. In this role you will be responsible for inventory management, staffing, transformation readiness, audit...

Description: IND123#GD#LI-POSTOverview: The Advanced Lung Disease (ALD) RN serves as the clinical liaison for our ALD Program in the ambulatory setting. Under the direction of the ALD providers, the specialty nurse will coordinate clinical activities in accordance with orders, policies, and protocols.Roles and responsibilities:Management of incoming triage...

Description: IND123#GD#LI-POSTOverview: The Advanced Lung Disease (ALD) RN serves as the clinical liaison for our ALD Program in the ambulatory setting. Under the direction of the ALD providers, the specialty nurse will coordinate clinical activities in accordance with orders, policies, and protocols.Roles and responsibilities:Management of incoming triage...

Job Title: Charge Auditor RNAscension Wisconsin is seeking a skilled Charge Auditor RN to join our team. As a Charge Auditor RN, you will play a critical role in ensuring the accuracy of billing and reimbursement for our healthcare services.Responsibilities:Coordinate payer denials and appeals, responding to insurance company requests for medical records and...

Description: IND123#GD#LI-POST Overview: The Advanced Lung Disease (ALD) RN serves as the clinical liaison for our ALD Program in the ambulatory setting. Under the direction of the ALD providers, the specialty nurse will coordinate clinical activities in accordance with orders, policies, and protocols. Roles and responsibilities: Management of incoming...

**Job Overview:**  The Artesia Daily Press is seeking a dynamic and experienced Editor to lead all aspects of news gathering, editing, and reporting for the weekly newspaper. This role is pivotal in ensuring high-quality, timely, and engaging content that resonates with the local community in Artesia and the surrounding areas.**Key Responsibilities:**-...

Description: IND123#GD#LI-POSTOverview: The Advanced Lung Disease (ALD) RN serves as the clinical liaison for our ALD Program in the ambulatory setting. Under the direction of the ALD providers, the specialty nurse will coordinate clinical activities in accordance with orders, policies, and protocols.Roles and responsibilities:Management of incoming triage...