Clinical Appeals Specialist

Job SummaryPiedmont is seeking a skilled Clinical Appeals Specialist to join our team. As a key member of our appeals team, you will be responsible for reviewing and analyzing clinical information from patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key Responsibilities:Review and analyze...

Job SummaryPiedmont is seeking a skilled Clinical Appeals Specialist to join our team. As a key member of our appeals process, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key ResponsibilitiesConduct detailed reviews of patient medical...

Job SummaryPiedmont Healthcare Corporate seeks a skilled Clinical Appeals Specialist to join our team. As a key member of our appeals team, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key ResponsibilitiesConduct detailed reviews of patient...

Job SummaryPiedmont is seeking a skilled Clinical Appeals Specialist to join our team. As a key member of our appeals process, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation.Key ResponsibilitiesConduct detailed reviews of patient medical records to...

Job SummaryPiedmont is seeking a skilled Clinical Appeals Specialist to join our team. As a key member of our appeals process, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key ResponsibilitiesConduct detailed reviews of patient medical...

Job SummaryWe are seeking a skilled Clinical Appeals Specialist to join our team at Piedmont Healthcare Corporate. As a key member of our appeals team, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.ResponsibilitiesConduct detailed reviews of...

Job SummaryWe are seeking a skilled Clinical Appeals Specialist to join our team at Piedmont Healthcare Corporate. As a key member of our appeals team, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.ResponsibilitiesConduct detailed reviews of...

Job SummaryPiedmont is seeking a skilled Clinical Appeals Specialist to join our team. As a key member of our appeals process, you will be responsible for reviewing and analyzing patient medical records to draft effective narratives for Medicare and Medicaid appeals documentation and briefs.Key ResponsibilitiesReview and analyze patient medical records to...

Job PurposeDetailed review, analysis, and extraction of clinical information from patient medical records to draft 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.Key ResponsibilitiesMaintain current knowledge base of medical coding,...

Job OverviewDCS Clinical is seeking a highly skilled Periodontal Specialist to join our team in Buckhead, Georgia.This is a 1099 contract position, working 2 days a week, excluding Fridays, with a focus on providing exceptional periodontal care to our patients.Key Responsibilities:Deliver a full range of periodontal services, including implants, soft tissue...

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...

Job Title: Clinical SpecialistLumicell is seeking a highly motivated and experienced Clinical Specialist to join our team. As a Clinical Specialist, you will be responsible for sustaining existing accounts and establishing new relationships with key accounts within your region.Key Responsibilities:Work with the Strategic Account Manager to sustain existing...

About the RoleLumicell is seeking a highly skilled Clinical Specialist to join our team in a mission-driven start-up environment. As a Clinical Specialist, you will play a critical role in sustaining accounts in territories and establishing relationships with key accounts within the breast conserving surgery ecosystem.Key ResponsibilitiesWork with the...

Job Title: Clinical Nurse SpecialistEmory Healthcare is seeking a highly skilled Clinical Nurse Specialist to join our team. As a Clinical Nurse Specialist, you will be responsible for providing expert nursing care to patients with complex medical conditions.Key Responsibilities:Develop and implement individualized care plans for patients with advanced heart...

Job Title: Clinical Nurse SpecialistJoin Emory Healthcare as a Clinical Nurse Specialist and take your nursing career to the next level. As a key member of our cardiovascular surgical unit, you will have the opportunity to work with a highly skilled team to provide exceptional patient care.Job Summary:We are seeking a highly motivated and experienced...

Job SummaryThe Nurse Consultant will provide clinical expertise to ensure compliance with medical necessity and quality standards. This role will investigate and resolve complex member requests and appeals, working collaboratively with Quality and Patient Safety Teams.Key ResponsibilitiesProvide clinical expertise to investigate and resolve member requests...

Job Title: Clinical Nurse SpecialistEmory Healthcare is seeking a highly skilled Clinical Nurse Specialist to join our team. As a Clinical Nurse Specialist, you will be responsible for providing expert clinical care to patients with advanced heart failure and other complex cardiovascular conditions.Key Responsibilities:Provide direct patient care and...

Job OverviewCore Clinical Management LLC is seeking a highly skilled Clinician Recruiter to join our team. As a key member of our recruitment team, you will be responsible for identifying and attracting top talent in the Hospitalist and Emergency Medicine fields.Key ResponsibilitiesDevelop and implement innovative recruitment strategies to source...

Job Title: Medical Insurance Billing SpecialistWe are seeking a highly skilled Medical Insurance Billing Specialist to join our team at the Georgia Department of Public Health. As a Medical Insurance Billing Specialist, you will play a critical role in ensuring the accuracy and efficiency of our billing processes.Job Responsibilities:Research and resolve...

Job Title: Medical Insurance Billing SpecialistWe are seeking a highly skilled Medical Insurance Billing Specialist to join our team at the Georgia Department of Public Health. As a Medical Insurance Billing Specialist, you will play a critical role in ensuring the accuracy and efficiency of our medical billing processes.Job Responsibilities:Research and...