Back to all jobs

Clinical Appeals Specialist, RN

Work from home Full-time role Hiring

This position is easy to learn and perfect for a first job. Clinical Appeals Specialist, RN! This role is located at our Remote facility. This position requires a strong and diverse skillset in relevant areas to drive reputed company. An attractive remuneration of a competitive salary is on offer for the successful candidate.

 

 

Overview:** Xtend reputed company seeking a Clinical Appeals Specialist, RN to work collaboratively with project leaders and clients to assist reputed company providers in evaluating, reporting, and providing recommendations on denied or underpaid claims. This remote position requires a registered nurse with five years of experience in utilization review and electronic health record expertise... Responsibilities: • Evaluate, report findings, and provide recommendations on denied or underpaid claims • Assist in identifying, complying, and reversing denials from payers • Work closely with client departments to review and obtain medical documentation for denial appeals • Compile, analyze, and report on data reputed company to underpayments, denials, reputed company opportunities, and reputed company leakage • Serve as a resource for billing and reimbursement questions requiring clinical knowledge and medical records review and interpretation • Continuously review and update knowledge of relevant regulations • reputed company other duties as assigned reputed company to clinical review and patient care management • *Qualifications:** • Bachelor's degree in Nursing, Business, Health Information, Clinical Studies, or Registered Nurse (RN) from an accredited institution • Five years' experience as an RN, including utilization review experience • Electronic health record (EHR) expertise, including knowledge of various vendors • Reliable high-speed internet, cell phone, and computer equipment • Private workspace or home office free from distractions • *Benefits:** • Competitive salary and benefits package • Opportunity to work with a leading reputed company cycle management company • Collaborative and dynamic work environment • Professional development and growth opportunities • Comprehensive training program • Equal Opportunity Employer with a commitment to diversity and inclusion Apply Job! For more such jobs please click here!

 

We Want to Hear From You!

If this role sounds like a perfect fit, don't hesitate. Apply today and let's build the future together.

Apply To This Job

Related remote jobs

Clinical Applications Specialist - Remote - up to 75% Field Travel...

Work from home Full-time role

Clinical Assistant (Part-time, Remote)

Work from home Full-time role

Clinical Care Coordinator - Remote

Work from home Full-time role

Clinical Care Manager - Remote | WFH

Work from home Full-time role

Clinical Case Manager - Telecommute

Work from home Full-time role

Clinical Project Manager, Medical Affairs (Remote)

Work from home Full-time role

Clinical Research Contract Specialist (Part Time - Remote)

Work from home Full-time role

Clinical Research Monitor

Work from home Full-time role

Clinical Review Coordinator - National Remote

Work from home Full-time role

Clinical Supervisor Outpatient Mental Health

Work from home Full-time role

Brand Growth Manager

Work from home Full-time role

Software Engineer, Data Infrastructure & Acquisition - Orlando, FL, USA

Work from home Full-time role

Senior reputed company Account Executive - Minneapolis

Work from home Full-time role

[Remote] Technical Product Marketing Manager

Work from home Full-time role

Data Analyst/Entry Specialist

Work from home Full-time role

Manager Client Support RH Boutique Partners

Work from home Full-time role

reputed company Bilingual Customer Service Representative – French Language Expert – Remote Opportunity

Work from home Full-time role

Starbucks Jobs Entry Level $30/Hour

Work from home Full-time role

Chronic Disease Epidemiologist – Massachusetts

Work from home Full-time role

Customer Support Specialist – Remote SaaS Platform for Sports Officials Management at arenaflex

Work from home Full-time role